RAFAEL L RODRIGUEZ (NPI# 1750442711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750442711 |
| Entity Type | Individual |
| Full Name | RAFAEL L RODRIGUEZ |
| Credential | PA |
| Practice Address |
7630 N Beach St Ste 140 Fort Worth TX 76137-3016 |
| Mailing Address |
8420 Sequoia Way Fort Worth TX 76137-5750 |
| Practice Telephone | 8172812977 |
| Practice Fax Number | 8177882530 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02220 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 320942101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790240521 | Rafael Omar Rodriguez Jr. | General Practice | 1115 Calle 40 Se, San Juan, PR 00921-2745 | 2019-02-06 |
| 1649779448 | Rafael Rodriguez | Radiologic Technologist | 11365 Montwood Dr Ste A, El Paso, TX 79936-3867 | 2018-02-07 |
| 1811422454 | Rafael Rodriguez | Registered Nurse | 15979 Oyster Bay Ln, Fontana, CA 92336-4549 | 2017-04-20 |
| 1417397894 | Rafael Moises Rodriguez | Psychiatry & Neurology | 401 N Parsons Ave Ste 105, Brandon, FL 33510 | 2013-06-28 |
| 1174832489 | Rafael Rodriguez | Social Worker | A14a Calle 2, Villas De Castro, Caguas, PR 00725-4602 | 2010-10-04 |
| 1972756955 | Rafael Rodriguez | Pathology | 8004 Nw 154th St # 197, Miami Lakes, FL 33016-5814 | 2008-11-04 |
| 1336351964 | Rafael J Rodriguez | Dentist | 175 Market St, 3rd Floor, Paterson, NJ 07505-1728 | 2007-05-04 |
| 1518016229 | Rafael Angel Rodriguez | Obstetrics & Gynecology | Carr #2 Km 133.5 Bo Guanabano, Aguada, PR 00602 | 2007-01-10 |
| 1407921760 | Rafael Rodriguez | Pediatrics | Pmb Suite 145, Ave. 90 Rio Hondo, Bayamon, PR 00961-3113 | 2006-11-22 |
| 1861410060 | Rafael Rodriguez | Internal Medicine | 2825 North State Road 7, Suite 204, Margate, FL 33063 | 2006-07-17 |
| Street Address |
7630 N BEACH ST STE 140 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053381541 | Kevin Andrew Kuenstler | Family Medicine | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2006-01-25 |
| 1083259022 | Kathleen Durham Daigle | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2019-11-13 |
| 1053952499 | Nicole Marie Johnson | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2019-10-07 |
| 1699275255 | Jamil Waters | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2018-02-20 |
| 1790155620 | Rebecca Hawthorne | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2015-10-05 |
| 1174917116 | Eric Hames | Family Medicine | 7630 N Beach St Ste 140, Fort Worth, TX 76137 | 2015-03-27 |
| 1043625296 | Staci Sutton | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2014-06-26 |
| 1134417298 | Jonathan Flores | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2011-07-11 |
| 1487961181 | James Alan Burke | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2010-09-02 |
| 1912928359 | Virginia C Holmes | Physician Assistant | 7630 N Beach St Ste 140, Fort Worth, TX 76137-3016 | 2006-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1629681952 | Anum Bashwani | Physician Assistant | 5601 Bridge St Ste 450, Fort Worth, TX 76112-2305 | 2020-08-26 |
| 1780200881 | Emily Brown Holloway | Physician Assistant | 1904 Turner Ridge Dr Apt 5202, Fort Worth, TX 76110-2499 | 2020-06-24 |
| 1679196570 | Maria Cristela Mosso | Physician Assistant | 4521 S Hulen St Ste 118, Fort Worth, TX 76109-4954 | 2020-05-26 |
| 1679195978 | Jacob Torre | Physician Assistant | 1701 River Run Ste 1118, Fort Worth, TX 76107-6557 | 2020-05-11 |
| 1871122382 | Kenaud Jeune | Physician Assistant | 5817 Fairglen Ave Apt 312, Fort Worth, TX 76137-6810 | 2020-04-06 |
| 1922635648 | Lauren Elizabeth Studey | Physician Assistant | 3470 Sagecrest Ter, Fort Worth, TX 76109-2555 | 2020-03-24 |
| 1033743612 | James Bregg Reedy | Physician Assistant | 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 | 2020-02-24 |
| 1992335194 | Alexandria Christine Rios | Physician Assistant | 5904 Rockhill Rd, Fort Worth, TX 76112-3047 | 2020-01-16 |
| 1982253605 | Kelly Ann Klein | Physician Assistant | 6708 River Bend Rd, Fort Worth, TX 76132-1108 | 2019-09-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
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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.