Mr. Rodrigo Benjamin Interiano
Pediatric Surgery
12200 Park Central Dr Ste 400
Dallas
, Texas 75251-2116
Mr. Rodrigo Benjamin Interiano
Pediatric Surgery
12200 Park Central Dr Ste 400
Dallas
, Texas 75251-2116
(281) 814-9573
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Mr. Rodrigo Benjamin Interiano
- 1410 Down River Dr
- Memphis, TN
- Zip : 38103-9042
- Phone : (281) 814-9573
Second Address
- Mr. Rodrigo Benjamin Interiano
- 12200 Park Central Dr Ste 400
- Dallas, TX
- Zip : 75251-2116
- Fax : (214) 483-9301
- Phone : (214) 483-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0120X | Pediatric Surgery | 390200000X | OK |
| Y | 2086S0120X | Pediatric Surgery | S6215 | TX |
National Provider Identifier
| NPI | 1508182494 |
|---|---|
| Provider Name | Mr. Rodrigo Benjamin Interiano |
| First Address | Memphis, TN 38103-9042 |
| Second Address | Dallas, TX 75251-2116 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2010 |
| Last Update Date | 28/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.