Individual
RHODESIA N LASTRAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4375 BOOTH CALLOWAY RD, STE 506, NRH, TX 76180
(817) 590-2229
(817) 590-8181
Mailing address
4375 BOOTH CALLOWAY RD, STE 506, NRH, TX 76180
(817) 590-2229
(817) 590-8181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J2650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115126801
—
TX
Enumeration date
03/28/2006
Last updated
02/16/2010
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