Basic Information
Provider Information
NPI: 1205085446
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROJAS
FirstName: DAVID
MiddleName: ALAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 844658
Address2:  
City: DALLAS
State: TX
PostalCode: 752844658
CountryCode: US
TelephoneNumber: 2547242111
FaxNumber:  
Practice Location
Address1: 800 W HIGHWAY 71
Address2:  
City: MARBLE FALLS
State: TX
PostalCode: 786548606
CountryCode: US
TelephoneNumber: 8302017100
FaxNumber: 8302017304
Other Information
ProviderEnumerationDate: 09/11/2008
LastUpdateDate: 08/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XS4560TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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