Roden, Jay S.

Roden, Jay S. is an individual health care provider with primary practice located at 12200 Park Central Dr Ste 400 , Dallas TX 75251-2116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Roden, Jay S. can be contacted via phone (214) 483-9300.

Contact Information

Primary practice address
12200 Park Central Dr Ste 400 Dallas TX 75251-2116
Phone: (214) 483-9300
Fax: (214) 483-9301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X G0019 Texas

Profile Details

NPI number 1093898447
LBN Legal business name Roden, Jay S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated May 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093898447 NPPES
Texas MEDICAID 1330870-01

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