Active NPI
Theodore P Roeser, MD
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1437217361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E8859
- Practice address
- 909 Frostwood Dr
Suite 1.100
Houston, TX 77024-2301 - Phone
- (713) 338-4523
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E8859 | TX | Primary |
Addresses
Primary practice location
909 Frostwood Dr
Suite 1.100
Houston, TX 77024-2301
Mailing address
2095 W Main St
Suite B
League City, TX 77573-3576
Phone (281) 332-6699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E8859 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1437217361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2095 W MAIN ST",
"address_2": "SUITE B",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775733576",
"telephone_number": "281-332-6699",
"fax_number": "281-332-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR",
"address_2": "SUITE 1.100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242301",
"telephone_number": "713-338-4523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESER",
"first_name": "THEODORE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E8859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.