Individual
RODABE AMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47807
CO
207RX0202X
Medical Oncology Physician
Primary
P6569
TX
390200000X
Student in an Organized Health Care Education/Training Program
TL-1922
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320200401 (MDACC)
—
TX
05
—
43073735
—
CO
01
—
8DV858
BCBS (MDACC)
TX
Enumeration date
01/26/2007
Last updated
01/09/2014
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