MR. RODERICK L PEOPLES SR.


Address: 93 Starlight, Ingleside, TX 78362-4945
Phone: 3152644715

MR. RODERICK L PEOPLES SR. (NPI# 1407023435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407023435
Entity Type Individual
Full Name MR. RODERICK L PEOPLES SR.
Credential IDC
Practice Address 93 Starlight
Ingleside
TX 78362-4945
Practice Telephone 3152644715
Enumeration Date 2008-05-09
Last Update Date 2008-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 93 STARLIGHT
City INGLESIDE
State TX
Zip Code 78362-4945

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1720056609 Rudy Wilbert Arocha Military Health Care Provider Branch Health Clinic, 327 Coral Sea Dr. Suite 165, Ingleside, TX 78362 2006-03-08
1518479930 Candice Nicole Miller Nurse Practitioner 2713 S Main St, Ingleside, TX 78362 2017-10-25
1609043777 Jason Paul Fechner Military Health Care Provider 1451 Lexington Drive, Comcmron2, Ingleside, TX 78362 2008-05-08
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City INGLESIDE
Zip Code 78362

Improve Information

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Dataset Information

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.

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