Echols, Roderick Evans

Echols, Roderick Evans is an individual health care provider with primary practice located at 2600 Saint Michael Dr , Texarkana TX 75503-5220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Echols, Roderick Evans can be contacted via phone (903) 614-5110.

Contact Information

Primary practice address
2600 Saint Michael Dr Texarkana TX 75503-5220
Phone: (903) 614-5110
Fax: (903) 614-5114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11893 Rhode Island
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M3213 Texas

Profile Details

NPI number 1417927369
LBN Legal business name Echols, Roderick Evans
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 7th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417927369 NPPES
Arkansas MEDICAID 163718001
Arkansas MEDICAID 200104510A
Arkansas Other 84034
Arkansas MEDICAID 182971501
Arkansas Other 8V4240
Arkansas Other P00351803

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