Rodriguez, Manuel
Rodriguez, Manuel is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rodriguez, Manuel can be contacted via phone (806) 354-5696.Contact Information
Primary practice address
1400 S Coulter St
Amarillo TX 79106-1786
Phone: (806) 354-5696
Fax: (806) 354-5693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L6162 | Texas |
Profile Details
| NPI number | 1922030980 |
|---|---|
| LBN Legal business name | Rodriguez, Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 2nd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922030980 | NPPES |
| Texas | MEDICAID | 150956402 | |
| Texas | MEDICAID | 200003610A | |
| Texas | MEDICAID | 150956403 | |
| Texas | MEDICAID | 02133237 |
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