Provider Demographics
NPI:1891593729
Name:RODRIGUEZ, SARAH JOY (DC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JOY
Last Name:RODRIGUEZ
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 SANTA FE TRL APT 3049
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7160
Mailing Address - Country:US
Mailing Address - Phone:214-940-6265
Mailing Address - Fax:
Practice Address - Street 1:4601 OLD SHEPARD PL STE 405
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5278
Practice Address - Country:US
Practice Address - Phone:469-782-1888
Practice Address - Fax:469-782-1889
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor