Rodriguez, Sandra Denise
Rodriguez, Sandra Denise is an individual health care provider with primary practice located at 5700 E. Interstate 20 Service Rd South Ste 200, Aledo TX 76008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rodriguez, Sandra Denise can be contacted via phone (817) 489-7337.Contact Information
Primary practice address
5700 E. Interstate 20 Service Rd South Ste 200
Aledo TX 76008
Phone: (817) 489-7337
Fax: (817) 489-7302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L9457 | Texas |
Profile Details
| NPI number | 1861428948 |
|---|---|
| LBN Legal business name | Rodriguez, Sandra Denise |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Apr 20th, 2016 - about 9 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 | 1861428948 | NPPES |
| Texas | MEDICAID | 166320502 WITH TMG | |
| Texas | Other | 1861428948 | |
| Texas | MEDICAID | 166320501 |
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