Provider Demographics
NPI:1457471195
Name:RODEN INVESTMENTS INC
Entity Type:Organization
Organization Name:RODEN INVESTMENTS INC
Other - Org Name:PAMPA PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-665-3668
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79066-0339
Mailing Address - Country:US
Mailing Address - Phone:806-665-3668
Mailing Address - Fax:806-665-3760
Practice Address - Street 1:2111 N HOBART
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-3415
Practice Address - Country:US
Practice Address - Phone:806-665-3668
Practice Address - Fax:806-665-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1114940174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX456842Medicare Oscar/Certification