Rodriguez, Camille

Rodriguez, Camille is an individual health care provider with primary practice located at 1301 W 7Th St Suite 121A, Fort Worth TX 76102-2651. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Rodriguez, Camille can be contacted via phone (817) 348-9967.

Contact Information

Primary practice address
1301 W 7Th St Suite 121A Fort Worth TX 76102-2651
Phone: (817) 348-9967
Fax: (855) 298-7291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1523 Texas

Profile Details

NPI number 1831306760
LBN Legal business name Rodriguez, Camille
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 19th, 2012 - about 12 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 1831306760 NPPES
Texas MEDICAID 153258201

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