Provider Demographics
NPI:1215071576
Name:ROD J ROHRICH MD PA
Entity type:Organization
Organization Name:ROD J ROHRICH MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROHRICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-821-9114
Mailing Address - Street 1:9101 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5956
Mailing Address - Country:US
Mailing Address - Phone:214-821-9114
Mailing Address - Fax:214-818-4768
Practice Address - Street 1:9101 N CENTRAL EXPY
Practice Address - Street 2:SUITE 600
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5956
Practice Address - Country:US
Practice Address - Phone:214-821-9114
Practice Address - Fax:214-818-4768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF44462086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0048LYOtherBLUE CROSS BLUE SHIELD
TXF4446OtherMEDICAL LICENSE
TXF4446OtherMEDICAL LICENSE
TX00310XMedicare PIN