Rodriguez-Ruesga, Roberto

Rodriguez-Ruesga, Roberto is an individual health care provider with primary practice located at 3410 Worth St Suite 160, Dallas TX 75246-2003. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Rodriguez-Ruesga, Roberto can be contacted via phone (214) 826-9797.

Contact Information

Primary practice address
3410 Worth St Suite 160 Dallas TX 75246-2003
Phone: (214) 826-9797
Fax: (214) 826-2573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X L2607 Texas

Profile Details

NPI number 1487724928
LBN Legal business name Rodriguez-Ruesga, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Apr 1st, 2016 - about 8 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 1487724928 NPPES
Texas MEDICAID 147151803
Texas MEDICAID 147151802
Texas MEDICAID 1471518-01
Texas Other P01429235

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