Loddie F Roeder Jr MD PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

E6589 Issued in TX

Legal business name

LODDIE F ROEDER JR MD PA

Practice address

189 E Austin St Ste 101
New Braunfels, TX 78130-4170

Phone

(830) 629-0002

NPI assigned

Feb 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Loddie F. Roeder Jr.

Title

Owner

Phone

(830) 629-0002

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1831368059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 E AUSTIN ST STE 101",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304170",
            "telephone_number": "830-629-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E AUSTIN ST STE 101",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304170",
            "telephone_number": "830-629-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODDIE F ROEDER JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "LODDIE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-629-0002",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "E6589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.