Rodriguez Pena, Angel Emmanuel

Rodriguez Pena, Angel Emmanuel is an sole proprietor health care provider with primary practice located at 8938 S Broadway Ave Ste 480 , Tyler TX 75703-5733. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Rodriguez Pena, Angel Emmanuel can be contacted via phone (918) 801-8124.

Contact Information

Primary practice address
8938 S Broadway Ave Ste 480 Tyler TX 75703-5733
Phone: (918) 801-8124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 34440 Texas
Dental Providers / Periodontics 1223P0300X 104508 California

Profile Details

NPI number 1639650245
LBN Legal business name Rodriguez Pena, Angel Emmanuel
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2018
Last updated Feb 23rd, 2022 - about 2 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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