Individual
DR. RODERICK MARCUS CAPELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 W STATE HIGHWAY 114, SUITE 110, GRAPEVINE, TX 76051-8649
(817) 310-0810
(817) 812-3525
Mailing address
2020 W STATE HIGHWAY 114, SUITE 110, GRAPEVINE, TX 76051-8649
(817) 310-0810
(817) 812-3525
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
M2275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176721204
—
TX
05
—
176721206
—
TX
Enumeration date
07/15/2006
Last updated
04/14/2010
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