Rodriguez, Rafael A
Rodriguez, Rafael A is an sole proprietor health care provider with primary practice located at 3228 Interstate 30 Ste 200 , Mesquite TX 75150-2633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rodriguez, Rafael A can be contacted via phone (972) 216-5400.Contact Information
Primary practice address
3228 Interstate 30 Ste 200
Mesquite TX 75150-2633
Phone: (972) 216-5400
Fax: (972) 216-5405
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K1640 | Texas |
Profile Details
NPI number | 1801866249 |
---|---|
LBN Legal business name | Rodriguez, Rafael A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 26th, 2006 |
Last updated | Jun 13th, 2024 - 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 | 1801866249 | NPPES |
Texas | MEDICAID | 096435502 |
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