MEDICARE: RODDY M STROBEL MD

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	2084P0804X	Child & Adolescent Psychiatry Physician	H4850	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V071995	OTHER	TX	DPS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669473112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODDY M STROBEL MD

Provider Business Mailing Address
First Line	:	3300 S FM 1788
Second Line	:	SUITE 403
City	:	MIDLAND
State	:	TX
Zip	:	79706-2601
Country	:	US
Telephone Number	:	432-563-1045
Fax Number	:	432-561-5491

Provider Business Practice Location Address
First Line	:	3300 S FM 1788
Second Line	:	SUITE 403
City	:	MIDLAND
State	:	TX
Zip	:	79706
Country	:	US
Telephone Number	:	432-563-1045
Fax Number	:	432-561-5491

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	02/13/2024

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Directions to “ RODDY M STROBEL MD” Practice Location

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