Provider Demographics
NPI:1669473112
Name:STROBEL, RODDY M (MD)
Entity Type:Individual
Prefix:
First Name:RODDY
Middle Name:M
Last Name:STROBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 S FM 1788
Mailing Address - Street 2:SUITE 403
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-2601
Mailing Address - Country:US
Mailing Address - Phone:432-563-1045
Mailing Address - Fax:432-561-5491
Practice Address - Street 1:3300 S FM 1788
Practice Address - Street 2:SUITE 403
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706
Practice Address - Country:US
Practice Address - Phone:432-563-1045
Practice Address - Fax:432-561-5491
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH48502084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV071995OtherDPS
TX131272003Medicaid
TX131272003Medicaid
TX131272003Medicaid