Provider Demographics
NPI:1932136900
Name:CROFT, RODNEY MORRIS (DPM)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:MORRIS
Last Name:CROFT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9635 HILLCROFT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3805
Mailing Address - Country:US
Mailing Address - Phone:713-721-2993
Mailing Address - Fax:713-721-3993
Practice Address - Street 1:9635 HILLCROFT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3805
Practice Address - Country:US
Practice Address - Phone:713-721-2993
Practice Address - Fax:713-721-3993
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1054213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
8B8857Medicare ID - Type Unspecified
U04280Medicare UPIN