Individual
DR. JAIME ROBERTO RONDEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J6222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118448305
—
TX
05
—
118448313
—
TX
01
—
8EH099
BCBS
TX
01
—
P01358220
RR
TX
Enumeration date
12/29/2005
Last updated
06/26/2018
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