Rodrigue, Marvin Dale
Rodrigue, Marvin Dale is an sole proprietor health care provider with primary practice located at 2729 Silverlake Pkwy Ste 101 , Pearland TX 77584-1852. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rodrigue, Marvin Dale can be contacted via phone (713) 436-4555.Contact Information
Primary practice address
2729 Silverlake Pkwy Ste 101
Pearland TX 77584-1852
Phone: (713) 436-4555
Fax: (281) 412-6784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 18878 | Texas |
Profile Details
| NPI number | 1851309934 |
|---|---|
| LBN Legal business name | Rodrigue, Marvin Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | May 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851309934 | NPPES |
| Texas | MEDICAID | 147089001 | |
| Texas | Other | 969593 |
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