MEDICARE: NP RHOADES INC PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1548044118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NP RHOADES INC PLLC

Provider Business Mailing Address
First Line	:	601 AIRPORT RD
Second Line	:	SUITE 150
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-2009
Country	:	US
Telephone Number	:	903-202-0765
Fax Number	:	903-964-6464

Provider Business Practice Location Address
First Line	:	601 AIRPORT RD STE 150
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-2009
Country	:	US
Telephone Number	:	903-202-0765
Fax Number	:	903-964-6164

Authorized Official
Title or Position	:	OWNER
Name	:	DUSTY RHOADES
Credential	:	FNP
Telephone Number	:	903-202-0765

Provider Enumeration Date	:	08/23/2023
Last Update Date	:	08/13/2025

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