Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 34752 | TX |
NPI | 1144646084 |
---|---|
Provider Name | Dr. Monica Marie Rodriguez -Monroig |
First Address | Dallas, TX 75228-3040 |
Second Address | Dallas, TX 75228-3040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2014 |
Last Update Date | 25/10/2021 |