Individual provider · Type 1 NPI

Shelley Poe Roaten Jr., MD

Adult Medicine Physician · Dallas, TX

NPI number 1336101377 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7208

Call (214) 648-8259 Map

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XE2822 (TX)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1336101377

Shelley Poe Roaten Jr., MD's National Provider Identifier is 1336101377, issued on Apr 5, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Dallas, TX. The record was last updated on Mar 31, 2008.