Sandra Denise Rodriguez, DO | |
5700 E. Interstate 20 Service Rd South, Ste 200, Aledo, TX 76008 | |
(817) 489-7337 | |
(817) 489-7302 |
Full Name | Sandra Denise Rodriguez |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 5700 E. Interstate 20 Service Rd South, Aledo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861428948 | NPI | - | NPPES |
166320502 WITH TMG | Medicaid | TX | |
1861428948 | Other | TX | BCBS OF TX |
166320501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L9457 (Texas) | Primary |
Entity Name | Timberland Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528061157 PECOS PAC ID: 7719875491 Enrollment ID: O20040514000302 |
Entity Name | Dallas Medical Specialists, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508217811 PECOS PAC ID: 3072895788 Enrollment ID: O20170112001818 |
Mailing Address | Practice Location Address |
---|---|
Sandra Denise Rodriguez, DO 5700e I-20 Service S Rd 200, Aledo, TX 76008-5115 Ph: (817) 489-7337 | Sandra Denise Rodriguez, DO 5700 E. Interstate 20 Service Rd South, Ste 200, Aledo, TX 76008 Ph: (817) 489-7337 |
John Burris Hicks Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr Ste 112, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3026 | |
Diana Marie Filtz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3025 | |
Caryn Elisabeth Pyle, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr Ste 211, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3301 | |
Samina S Farooqi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr Ste 111, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3025 | |
Gina Fowler, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 311 S Fm 1187, 300, Aledo, TX 76008 Phone: 817-441-2266 Fax: 877-293-3512 | |
Ankita Singh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3301 | |
Laura G Power, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr Ste 112, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3026 |