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1245336320
JACK A. ROTH
HOUSTON, TX
NPI
1245336320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: TX H1200)
Enumeration Date
2006-09-15
Last Update Date
2011-02-24
Business Address
JACK A. ROTH M.D.
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
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Mailing Address
JACK A. ROTH M.D.
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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