NELSON AGUSTIN RODRIGUEZ UNDA (NPI# 1346620010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346620010 |
Entity Type | Individual |
Full Name | NELSON AGUSTIN RODRIGUEZ UNDA |
Credential | M.D. |
Practice Address |
2401 S 31st St # Ms 01e443 Temple TX 76508-1101 |
Mailing Address |
2012 S 31st St Temple TX 76504-7123 |
Practice Telephone | 2547244880 |
Enumeration Date | 2015-06-08 |
Last Update Date | 2020-10-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | MT209080 | PA | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
BP10062090 | TX | Allopathic & Osteopathic Physicians |
Street Address |
2401 S 31ST ST # MS 01E443 |
City | TEMPLE |
State | TX |
Zip Code | 76508-1101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861885428 | Jordan Thomas-casoglos Blough | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms 01e443, Temple, TX 76508-0001 | 2015-03-06 |
1235634114 | Jesse Isaac Payton | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms 01e443, Temple, TX 76508-0001 | 2018-03-24 |
1134584428 | Sungmin Regina Cho | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms 01e443, Temple, TX 76508-0001 | 2015-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
Find all providers in zip 76508 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063942134 | Hope Shin | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2017-06-12 |
1831577253 | Jasson Thomas Abraham | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-18 |
1366872020 | Mark Asher Schusterman II | Surgery | 2401 S 31st St, Temple, TX 76508-2500 | 2013-11-17 |
1770717555 | Sebastian Brooke | Surgery | 2401 S 31st St, Temple, TX 76508-2360 | 2009-05-08 |
1700810280 | Susan Mary Pike | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2006-07-10 |
1104888114 | Charles Nash Verheyden | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2006-04-05 |
1932161858 | Raleigh R. White Iv | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2006-04-05 |
1285695460 | Dennis J. Lynch | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-29 |
1245290501 | Peter C. Grothaus | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801408588 | Hill Country Plastic Surgery, Pllc | Surgery | 8042 Wurzbach Rd Ste 120, San Antonio, TX 78229-3818 | 2020-08-23 |
1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
1780242123 | Hands of Houston Pllc | Surgery | 6704 Ferris, Bellaire, Texas, TX 77401 | 2019-05-31 |
1609361419 | Texas Surgery Specialist, Pllc | Surgery | 1000 N Davis Dr Ste E, Arlington, TX 76012-3202 | 2018-06-25 |
1720575954 | Wijay Tops, Pllc | Surgery | 4306 Yoakum Blvd Ste 520, Houston, TX 77006-5883 | 2018-04-13 |
1437664067 | Austin Cosmetic Surgery | Surgery | 3102 Rr 620 S, Lakeway, TX 78734 | 2017-12-05 |
1326558594 | West Houston Aesthetic and Plastic Surgery Pllc | Surgery | 1717 Wisteria Way, Westlake, TX 76262-9083 | 2017-10-02 |
1235667189 | Lyos Plastic Surgery & Associates | Surgery | 9230 Katy Fwy Ste 420, Houston, TX 77055-7468 | 2017-05-23 |
1275071292 | Elite Breast & Trauma Care | Surgery | 7400 Fannin St # 700c, Houston, TX 77054-1920 | 2017-02-09 |
1699179390 | Sam T. Hamra M.d. P. A. | Surgery | 4131 N Central Expy # 950, Dallas, TX 75204-2102 | 2014-10-09 |
Find all providers with the same taxonomy |
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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.