MEDICARE: SARAH CHANCE RODRIGUEZ M.D.

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	207Y00000X	Otolaryngology Physician	M3373	TX
2	207Y00000X	Otolaryngology Physician	M3373	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H08PK78401	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144278151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CHANCE RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-1614
Country	:	US
Telephone Number	:	956-362-8125
Fax Number	:	956-362-8135

Provider Business Practice Location Address
First Line	:	1100 E DOVE AVE STE 402
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4684
Country	:	US
Telephone Number	:	956-362-8125
Fax Number	:	956-362-8135

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	03/27/2024

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