Individual
LUISA A. RONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 N WESTMORELAND RD, DEHARO SALDIVAR HEALTH CENTER, DALLAS, TX 75211-1656
(214) 266-0500
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139128601
—
TX
05
—
139128602
—
TX
05
—
139128603
—
TX
05
—
139128604
—
TX
05
—
139128606
—
TX
05
—
139128607
—
TX
05
—
139128608
—
TX
05
—
139128609
—
TX
05
—
139128610
—
TX
05
—
139128612
—
TX
05
—
139128613
—
TX
05
—
139128614
—
TX
05
—
139128615
—
TX
05
—
139128618
—
TX
05
—
139128619
—
TX
05
—
139128623
—
TX
05
—
139128624
—
TX
05
—
148765401
—
TX
Enumeration date
12/05/2005
Last updated
12/17/2012
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