Roth, Samuel Benjamin

Roth, Samuel Benjamin is an individual health care provider with primary practice located at 17520 W Grand Pkwy S Ste 100 , Sugar Land TX 77479-4759. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Roth, Samuel Benjamin can be contacted via phone (281) 725-5895.

Contact Information

Primary practice address
17520 W Grand Pkwy S Ste 100 Sugar Land TX 77479-4759
Phone: (281) 725-5895
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1357064 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT8549 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 1357064 Texas

Profile Details

NPI number 1497415731
LBN Legal business name Roth, Samuel Benjamin
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2021
Last updated Aug 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497415731 NPPES
Texas Other AT8549 AT LICENSE

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