NPI 1740647486 MR. KLADE DANE RODRIGUEZ SATIN TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Klade Dane Rodriguez - NPI: 1740647486

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. KLADE DANE RODRIGUEZ
NPI Number: 1740647486
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 36849484
Business Practice Address: 200 Marion Pugh Dr Apt 104
College Station, TX - 778402702
Business Phone Number: 2543168275
Business Fax Number:
Mailing Address: P.o. Box 22,
SATIN
State: TX
Postal Code: 76685
Phone Number: 2543168275
Fax Number:
NPI Enumeration Date: 01/26/2016
NPI Last Update Date: 01/26/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 390200000X
License Number: 36849484
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TX
Taxonomy Type: Student, Health Care
Taxonomy Classification: Student in an Organized Health Care Education/Training Program
Taxonomy Specialization:
Taxonomy Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.


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