RODOLFO AMARO-GAVLEZ (NPI# 1023006509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023006509 |
| Entity Type | Individual |
| Full Name | RODOLFO AMARO-GAVLEZ |
| Credential | MD |
| Practice Address |
11937 Us Highway 271 Tyler TX 75708-3154 |
| Mailing Address |
Po Box 731912 Dallas TX 75373-1912 |
| Practice Telephone | 9038777072 |
| Practice Fax Number | 9038775838 |
| Mailing Telephone | 9038777777 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2016-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
J4693 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
J4693 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 041686901 | 05 |
| Street Address |
11937 US HIGHWAY 271 |
| City | TYLER |
| State | TX |
| Zip Code | 75708-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233550 | Frances L. Elizondo | Physician Assistant | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-05-31 |
| 1497355481 | Jessie Ann Gibson | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-28 |
| 1538767397 | Ian Joseph Gomez | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-14 |
| 1588262562 | Jamie R Antwine | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-13 |
| 1679171797 | Christian Paul Fant | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-12 |
| 1912512468 | Halle Ross-young | Psychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-09-11 |
| 1093328700 | Joshua Morgan | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-24 |
| 1811509011 | Kavya Parasa | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-19 |
| 1326657792 | Pelin D Strebler | Clinical Neuropsychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-07-30 |
| 1508483082 | Chi Nguyen Benson | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
| 1174170781 | Sanmitha Sundaram Kota | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-08-20 |
| 1952960437 | Parashar Trivedi | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-10 |
| 1659937506 | Sandhya Devaraj | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-16 |
| 1972169381 | Mary Kaar | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1396301701 | Joshua Penrod | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1558927962 | Ijeoma Nwaigwe | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1487210894 | David Pollard | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1477119873 | Aparna Kanuparthy | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1275199689 | Prithvi Muddana | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
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| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992232888 | Subhash Aniruddha Joshi | Pediatrics | 1100 Fm 1807, Venus, TX 76084-3966 | 2017-05-22 |
| 1124259072 | Dat Quoc Tran | Pediatrics | 5001 Bissonnet St Ste 200, Bellaire, TX 77401-4023 | 2009-07-27 |
| 1568606697 | Chinedum Pediatric Health Pa | Pediatrics | 910 E Redd Rd Ste P, El Paso, TX 79912-7348 | 2009-04-20 |
| 1699218560 | Aikaterini Anagnostou | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2016-11-28 |
| 1497200935 | Andrew D Beaty Md Pa | Pediatrics | 4200 S Hulen St Ste 230, Fort Worth, TX 76109-4924 | 2016-08-24 |
| 1487071338 | Jennifer Mehl Miller | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2014-03-27 |
| 1164742623 | Maria Gabriela Buheis | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2010-06-08 |
| 1295050508 | Min Jung Lee | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2010-03-30 |
| 1447494703 | Allergy, Sinus & Asthma Professionals, Pllc | Pediatrics | 950 Threadneedle St, Suite 160, Houston, TX 77079-2925 | 2009-04-29 |
| 1255507943 | Pooja Varshney | Pediatrics | 1301 Barbara Jordan Blvd, Suite 200, Austin, TX 78723-3077 | 2008-05-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.