Individual provider · Type 1 NPI

Preston A. Roche

Military Health Care Provider · San Antonio, TX

NPI number 1265135495 Active

Practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

132 Purefoy Rd
Chapel Hill, NC 27514-4853

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XBP10082348 (TX)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1265135495

Preston A. Roche's National Provider Identifier is 1265135495, issued on Mar 27, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 27, 2023.