Edgar David Rodriguez, | |
2704 N Galloway Ave Ste 101, Mesquite, TX 75150-6379 | |
(972) 288-3376 | |
Not Available |
Full Name | Edgar David Rodriguez |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 2704 N Galloway Ave Ste 101, Mesquite, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265051924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | U8427 (Texas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Epiphany Dermatology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
Mailing Address | Practice Location Address |
---|---|
Edgar David Rodriguez, 7300 Ranch Rd. 2222, Bldg 1, Ste 200, Austin, TX 78730-3255 Ph: (512) 628-0465 | Edgar David Rodriguez, 2704 N Galloway Ave Ste 101, Mesquite, TX 75150-6379 Ph: (972) 288-3376 |
Dr. Richard N Rudnicki, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3330 N Galloway Ave Ste 304, Mesquite, TX 75150 Phone: 972-289-2233 | |
Dr. Tang Dinh Le, D.O Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2704 N Galloway Ave Ste 101, Mesquite, TX 75150 Phone: 972-288-3376 Fax: 972-288-3377 | |
Angela Nichole Edwards, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2704 N Galloway Ave Ste 101, Mesquite, TX 75150 Phone: 972-288-3376 |