Rodriguez, Robert
Rodriguez, Robert is an individual health care provider with primary practice located at 1356 Fm 2673 , Canyon Lake TX 78133-4510. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Rodriguez, Robert can be contacted via phone (830) 907-2145.Contact Information
Primary practice address
1356 Fm 2673
Canyon Lake TX 78133-4510
Phone: (830) 907-2145
Fax: (830) 964-2373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1016541 | Texas |
Profile Details
| NPI number | 1821056243 |
|---|---|
| LBN Legal business name | Rodriguez, Robert |
| Credentials | L.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Oct 21st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821056243 | NPPES |
| Texas | MEDICAID | 0876609-02 | |
| Texas | Other | 742795605 |
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