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Individual

JOSELITA D RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2727 BOLTON BOONE DR STE 111, DESOTO, TX 75115-2019
(972) 298-1878
(972) 298-1952
Mailing address
2727 BOLTON BOONE DR STE 111, DESOTO, TX 75115-2019
(972) 298-1878
(972) 298-1952

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F6096
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125088805
TX
05
125088807
TX
05
141022701
TX
Enumeration date
07/17/2006
Last updated
07/21/2023
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