Rodriguez, Robert B.

Rodriguez, Robert B. is an individual health care provider with primary practice located at 405 Stadium Dr , Grand Prairie TX 75050-3588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodriguez, Robert B. can be contacted via phone (469) 865-1850.

Contact Information

Primary practice address
405 Stadium Dr Grand Prairie TX 75050-3588
Phone: (469) 865-1850
Fax: (469) 865-1855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F6370 Texas

Profile Details

NPI number 1861438053
LBN Legal business name Rodriguez, Robert B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 28th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861438053 NPPES
Texas MEDICAID 141983001

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