Individual
LORA BRIGID RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5418 KINGSTON DR, RICHARDSON, TX 75082-4073
(972) 907-3621
Mailing address
5418 KINGSTON DR, RICHARDSON, TX 75082-4073
(972) 907-3621
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K7090
TX
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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