Healthcare Provider Details

I. General information

NPI: 1578702734
Provider Name (Legal Business Name): RDA ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 ST JOSEPH PKWY
HOUSTON TX
77002-8301
US

IV. Provider business mailing address

2108 W PECAN ST
GLADEWATER TX
75647-4164
US

V. Phone/Fax

Practice location:
  • Phone: 713-757-1000
  • Fax:
Mailing address:
  • Phone: 866-488-0513
  • Fax: 903-374-4711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSE D HEBERT
Title or Position: MD
Credential: MD
Phone: 866-488-0513