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NPI Code Detail

MEDICARE: RODNEY ALAN RODRIGUEZ II COA

MEDICARE: RODNEY ALAN RODRIGUEZ II COA
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
1156FX1101XOphthalmic Assistant256134TX

General Provider Information

NPI Number : 1336964402
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODNEY ALAN RODRIGUEZ II COA
Provider Business Mailing Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-4688
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-4688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2024
Last Update Date : 11/22/2024

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Directions to “ RODNEY ALAN RODRIGUEZ II COA” Practice Location

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