Robert B. Rodriguez Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F6370 Issued in TX

Practice address

405 Stadium Dr
Grand Prairie, TX 75050-3588

Phone

(469) 865-1850

Fax

(469) 865-1855

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1861438053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STADIUM DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750503588",
            "telephone_number": "469-865-1850",
            "fax_number": "469-865-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STADIUM DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750503588",
            "telephone_number": "469-865-1850",
            "fax_number": "469-865-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROBERT",
        "middle_name": "B.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F6370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141983001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rod & Staff Home Healthcare Services Inc
• Gary Rodgers, ATP
• Fernan Rodriguez, DDS, MS
• Jacquelyn Lyzzette Rodriguez
• Rebekha Michelle Rodriguez, D.D.S.
• Yolanda Rogers-Felts
• Arlie Franklin Rogers Jr., MA, LPC-S, RPT
• Persephone Rogers, M.S, LSSP, NCSP
• Kimberly Cherie Roland-Edmondson, RN
• Khadeja Ross

• Family Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.