MEDICARE: SARAH JOY RODRIGUEZ D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	16409	TX

General Provider Information

NPI Number	:	1891593729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JOY RODRIGUEZ D.C

Provider Business Mailing Address
First Line	:	212 SANTA FE TRL APT 3049
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7160
Country	:	US
Telephone Number	:	214-940-6265
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 OLD SHEPARD PL STE 405
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5278
Country	:	US
Telephone Number	:	469-782-1888
Fax Number	:	469-782-1889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

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