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NPI Code Detail

MEDICARE: ALFREDO RODRIGUEZ M D & ASSOCIATES

MEDICARE: ALFREDO RODRIGUEZ M D & 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
1174400000XSpecialistMDF3594TX

General Provider Information

NPI Number : 1568777373
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALFREDO RODRIGUEZ M D & ASSOCIATES
Provider Business Mailing Address
First Line : 2540 N GALLOWAY AVE
Second Line : SUITE # 301
City : MESQUITE
State : TX
Zip : 75150-4814
Country : US
Telephone Number : 972-270-7585
Fax Number : 972-613-3334
Provider Business Practice Location Address
First Line : 2540 N GALLOWAY AVE
Second Line : SUITE # 301
City : MESQUITE
State : TX
Zip : 75150-4814
Country : US
Telephone Number : 972-270-7585
Fax Number : 972-613-3334
Authorized Official
Title or Position : OWNER
Name : DR. ALFREDO DM RODRIGUEZ
Credential : MD
Telephone Number : 972-270-7585
Provider Enumeration Date : 08/17/2010
Last Update Date : 12/06/2011

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Directions to “ALFREDO RODRIGUEZ M D & ASSOCIATES ” Practice Location

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