MEDICARE: ALFREDO RODRIGUEZ MD & ASSOCIATES

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	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician

General Provider Information

NPI Number	:	1104050905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFREDO RODRIGUEZ MD & ASSOCIATES

Provider Business Mailing Address
First Line	:	2540 N GALLOWAY AVE STE 301
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4814
Country	:	US
Telephone Number	:	972-279-7585
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 N GALLOWAY AVE STE 301
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4814
Country	:	US
Telephone Number	:	972-279-7585
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALFREDO RODRIGUEZ
Credential	:	M.D
Telephone Number	:	972-270-7585

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	05/07/2009

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