Basic Information
Provider Information
NPI: 1235305608
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROJAS
FirstName: ANA
MiddleName: MARIA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 911230
Address2:  
City: DALLAS
State: TX
PostalCode: 753911230
CountryCode: US
TelephoneNumber: 9729978000
FaxNumber: 9722342987
Practice Location
Address1: 1609 HOSPITAL PKWY
Address2:  
City: BEDFORD
State: TX
PostalCode: 760226920
CountryCode: US
TelephoneNumber: 8173545581
FaxNumber: 8173599062
Other Information
ProviderEnumerationDate: 05/05/2008
LastUpdateDate: 03/07/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA89856CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
34934390105TX MEDICAID


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