Rodriguez, Freddy Angel

Rodriguez, Freddy Angel is an sole proprietor health care provider with primary practice located at 3050 S 1St St Ste 215 , Garland TX 75041-3442. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rodriguez, Freddy Angel can be contacted via phone (972) 926-1199.

Contact Information

Primary practice address
3050 S 1St St Ste 215 Garland TX 75041-3442
Fax: (972) 278-6830
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E3758 Texas

Profile Details

NPI number 1609091198
LBN Legal business name Rodriguez, Freddy Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1609091198 NPPES
Texas MEDICAID 0999732-01

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