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Organization
RAFAEL A RODRIGUEZ MD PA
Active
Organization
RAFAEL A RODRIGUEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL A RODRIGUEZ M.D. (PRESIDENT)
(972) 216-5400
Entity
Organization
Contact information
Practice address
3228 INTERSTATE 30, SUITE 200, MESQUITE, TX 75150
(972) 216-5400
(972) 216-5405
Mailing address
3228 INTERSTATE 30, SUITE 200, MESQUITE, TX 75150
(972) 216-5400
(972) 216-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K-1640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060101991
—
TX
Enumeration date
09/22/2006
Last updated
05/23/2012
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