Basic Information
| Provider Information | |||||||||
| NPI: | 1578702734 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RDA ASSOCIATES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2108 W PECAN ST | ||||||||
| Address2: | |||||||||
| City: | GLADEWATER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 756474164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8664880513 | ||||||||
| FaxNumber: | 9033744711 | ||||||||
| Practice Location | |||||||||
| Address1: | 1401 ST JOSEPH PKWY | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770028301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137571000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/11/2009 | ||||||||
| LastUpdateDate: | 02/11/2009 | ||||||||
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| AuthorizedOfficialLastName: | HEBERT | ||||||||
| AuthorizedOfficialFirstName: | JESSE | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 8664880513 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.