| Dr Rosemary H Roderick Roseberry, MD | |
|
Brooke Army Medical Center, 3551 Roger Brooke Dr., Jbsa Fort Sam Houston, TX 78234-4504 | |
| (214) 395-7573 | |
| Not Available |
| Full Name | Dr Rosemary H Roderick Roseberry |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | Brooke Army Medical Center, Jbsa Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942218862 | NPI | - | NPPES |
| 116436002 | Medicaid | TX | |
| 370007273 | Other | TX | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | J0228 (Texas) | Primary |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rosemary H Roderick Roseberry, MD Brooke Army Medical Center, 3551 Roger Brooke Dr., Jbsa Fort Sam Houston, TX 78234-4504 Ph: (210) 916-3160 | Dr Rosemary H Roderick Roseberry, MD Brooke Army Medical Center, 3551 Roger Brooke Dr., Jbsa Fort Sam Houston, TX 78234-4504 Ph: (214) 395-7573 |
Dr. Katrina Savioli, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3551 Roger Broke Drive, Jbsa Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Austin Robert Baltensperger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Drive, Sammc, Jbsa Fort Sam Houston, TX 78234 Phone: 210-916-9928 Fax: 210-916-9332 | |
Dr. Jeanne Alexandra Krick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 Phone: 253-968-0895 |