Provider Demographics
NPI:1073618872
Name:RODRIGUEZ-LAGUER, MYRIAM JANET (MD)
Entity Type:Individual
Prefix:DR
First Name:MYRIAM
Middle Name:JANET
Last Name:RODRIGUEZ-LAGUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MYRIAM
Other - Middle Name:JR
Other - Last Name:LAGUER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4824 VALLEY SPRINGS TRAIL
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248
Mailing Address - Country:US
Mailing Address - Phone:817-281-8186
Mailing Address - Fax:817-281-8186
Practice Address - Street 1:4500 SOUTH LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216
Practice Address - Country:US
Practice Address - Phone:800-849-3597
Practice Address - Fax:214-857-2023
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301072221207R00000X
PR7687207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine