Individual
DR. ALAN RODRIGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
700 FLOURNOY RD, SUITE 2A, ALICE, TX 78332-4003
(361) 664-1417
(361) 664-3218
Mailing address
204 E 1ST ST, ALICE, TX 78332-4822
(361) 396-0370
(361) 664-2248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275620551
ROBERTSON CHC NPI
TX
05
—
154467801
—
TX
05
—
154467803
—
TX
01
—
1649265646
NPI BRYAN CHC
TX
01
—
1821185299
BVCAA AGENCY NPI
TX
01
—
25698
SDBE DENTAL LICENSE
TX
Enumeration date
07/09/2010
Last updated
03/03/2016
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