Individual
DR. ROBERTO RODRIGUEZ-RUESGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3410 WORTH ST, SUITE 160, DALLAS, TX 75246-2003
(214) 826-9797
(214) 826-2573
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
L2607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471518-01
—
TX
05
—
147151802
—
TX
05
—
147151803
—
TX
01
—
P01429235
RAILROAD MEDICARE
TX
Enumeration date
11/09/2006
Last updated
04/01/2016
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