# RODERICK P DIGGS III MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841317005
- **Authorized official:** DR. RODERICK PETER DIGGS III MD PA (DIRECTOR)
- **Authorized official phone:** (817) 539-7240

## Contact information

- **Practice address:** 2800 E BROAD ST, SUITE 214, MANSFIELD, TX 76063-6411
- **Practice address phone:** (817) 539-7240
- **Practice address fax:** (817) 539-7247
- **Mailing address:** 2800 E BROAD ST, SUITE 214, MANSFIELD, TX 76063-6411
- **Mailing address phone:** (817) 539-7240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | K7143 | TX | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 04/23/2008