| Roxana Rhodes, MD | |
|
631 W 38th St Austin TX 78705-1250 | |
| (512) 453-3542 | |
| (512) 453-3555 |
| Full Name | Roxana Rhodes, MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 631 W 38th St, Austin, Texas |
| Authorized Official Name and Position | Roxana Rhodes (OWNER) |
| Authorized Official Contact | 5124533542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxana Rhodes, MD 631 W 38th St Austin TX 78705-1250 Ph: (512) 453-3542 | Roxana Rhodes, MD 631 W 38th St Austin TX 78705-1250 Ph: (512) 453-3542 |
| NPI Number | 1427273275 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5597926899 |
|---|---|
| Medicare Enrollment ID | O20120413000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427273275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J3375 (Texas) | Primary |
| Provider Name | Roxana a Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629131941 PECOS PAC ID: 8022279330 Enrollment ID: I20120413000214 |
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