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Individual

DR. TANYA REDDICK RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1101 RAINTREE CIR, SUITE 250, ALLEN, TX 75013-4922
(972) 649-6644
(972) 649-6663
Mailing address
1101 RAINTREE CIR, SUITE 250, ALLEN, TX 75013-4922
(972) 649-6644
(972) 649-6663

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25MA08064100
NJ
207N00000X
Dermatology Physician
Primary
N1109
TX

Other

Enumeration date
06/21/2006
Last updated
12/17/2008
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