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Individual

DR. CAMILLE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1301 W 7TH ST, SUITE 121A, FORT WORTH, TX 76102-2651
(817) 348-9967
(855) 298-7291
Mailing address
PO BOX 4839, TROY, MI 48099-4839
(248) 824-6600
(248) 324-1477

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1523
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
153258201
TX
Enumeration date
05/17/2007
Last updated
07/19/2012
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