Individual provider Active NPI

Philip Garza Rodriguez, F.N.P., D.C.

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1407982135
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129266 Issued in TX
Practice address
1201 N Watson Rd Ste 166
Arlington, TX 76006-6223
Phone
(817) 770-6867
Fax
(214) 260-6062
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6478 TX
Family Nurse Practitioner 363LF0000X AP129266 TX Primary

Addresses

Primary practice location

1201 N Watson Rd Ste 166
Arlington, TX 76006-6223

Mailing address

PO Box 80410
Keller, TX 76244-2906
Phone (817) 770-6867

Other identifiers 1

IdentifierTypeStateIssuer
AP129266OtherTXNURSE PRACTIONER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6478TXMDChiropractor
AP129266TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Medical & Injury Clinics Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1407982135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80410",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762442906",
            "telephone_number": "817-770-6867",
            "fax_number": "214-260-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 166",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066223",
            "telephone_number": "817-770-6867",
            "fax_number": "214-260-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PHILIP",
        "middle_name": "GARZA",
        "credential": "F.N.P., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6478",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER LICENSE",
            "identifier": "AP129266",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.