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DSW PEDIATRICS & CHILDREN AND YOUTH CLINIC NPI 1043788201


NPI Information

NPI: 1043788201
Provider Name: DSW PEDIATRICS & CHILDREN AND YOUTH CLINIC

Doing Business As: JOSELITA RODRIGUEZ M.D.

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D0998444

Address:
2727 BOLTON BOONE DR STE 111
DESOTO, TX
ZIP 75115
Phone: (972) 298-1878
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DSW PEDIATRICS & CHILDREN AND YOUTH CLINIC is a pediatrics in Desoto, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DSW PEDIATRICS & CHILDREN AND YOUTH CLINIC NPI is 1043788201. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Joselita Rodriguez M.d..

The provider's business location address is:

2727 BOLTON BOONE DR STE 111
DESOTO, TX
ZIP 75115-019
Phone: (972) 298-1878
Fax: (972) 298-1952

The provider's authorized official is Joseph V Rodriguez .
The authorized official title is Office Manager and has the following contact phone number (972) 298-1878.

The CLIA number assigned to this NPI record is 45D0998444 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 7/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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