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Organization

DIRK I. RODRIGUEZ, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIRK I RODRIGUEZ MD (PRESIDENT)
(214) 373-4751
Entity
Organization

Contact information

Practice address
9080 HARRY HINES BLVD, SUITE 110, DALLAS, TX 75235-1720
(214) 373-4751
(214) 637-0886
Mailing address
9080 HARRY HINES BLVD, SUITE 110, DALLAS, TX 75235-1720
(214) 373-4751
(214) 637-0886

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H5735
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OO58SW
BC/BS
TX
Enumeration date
10/28/2009
Last updated
09/12/2011
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