1600 W COLLEGE ST SUITE 555
GRAPEVINE, TX 76051-3580 US PECOS Enrolled
Patrick Thomas Roughneen
Thoracic Surgeon
- GRAPEVINE, TX
- Phone: (817)-552-1900
- Last Updated 3/18/2008
Overview
Patrick Thomas Roughneen is a Thoracic Surgeon in the GRAPEVINE area and has over 42 years of experience. Patrick Thomas Roughneen primary office location is at 1600 W COLLEGE ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1982
Patrick Thomas Roughneen is affiliated with two hospitals in the GRAPEVINE area, including UNITED REGIONAL HEALTH CARE SYSTEM. The NPI number is 1205847936 and the information was updated approximately 16 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| J1480 | TX |
| Type/Issuer | Identifier | State |
|---|---|---|
| BLUE CROSS/BLUE SHIELDS | 0053MA | TX |
| MEDICAID | 171001401 | TX |
| MEDICAID | 171001405 | TX |
| MEDICAID | 171001404 | TX |
| RAILROAD MEDICARE PIN | DE9002 | TX |
| Taxonomy | State | Primary? |
|---|---|---|
| Thoracic Surgeon - Taxonomy Code 208G00000X | TX | Y |
| Vascular Surgeon - Taxonomy Code 2086S0129X | TX | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20041228000588 |
| PECOS Individual PAC ID: | 9032177704 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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