Active NPI
Philip Garza Rodriguez, F.N.P., D.C.
- Family Nurse Practitioner
- Arlington, TX
National Provider Identifier
1407982135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP129266
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP129266 | Other | TX | NURSE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6478 | TX | MD | Chiropractor |
| AP129266 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Las Cruces, NM
- NPI 1730985276
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.