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
Fax: (972) 216-5405
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801866249 NPPES
Texas MEDICAID 096435502

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