Healthcare Provider Details

I. General information

NPI: 1306976287
Provider Name (Legal Business Name): ALFRED J. RODRIGUEZ, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 W PARKER RD SUITE 215
PLANO TX
75093-7939
US

IV. Provider business mailing address

6200 W PARKER RD SUITE 215
PLANO TX
75093-7939
US

V. Phone/Fax

Practice location:
  • Phone: 972-981-7800
  • Fax:
Mailing address:
  • Phone: 972-981-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: VALERIE A HOWELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 972-981-7803