Rodriguez, Jose R
Rodriguez, Jose R is an individual health care provider with primary practice located at 5000 Long Prairie Rd , Flower Mound TX 75028-2783. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rodriguez, Jose R can be contacted via phone (972) 420-1776.Contact Information
Primary practice address
5000 Long Prairie Rd
Flower Mound TX 75028-2783
Phone: (972) 420-1776
Fax: (972) 221-8685
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04899 | Texas |
Profile Details
NPI number | 1437254679 |
---|---|
LBN Legal business name | Rodriguez, Jose R |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1437254679 | NPPES |
Texas | Other | 1071690 | NCCPA CERTIFICATION |
Texas | Other | D0171280 | NCCPA CERTIFICATION |
Texas | Other | PA04899 | NCCPA CERTIFICATION |
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