Provider Demographics
NPI:1952462509
Name:RHODE, JOSEPH GEORGE II (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GEORGE
Last Name:RHODE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 N BIG SPRING ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-4505
Mailing Address - Country:US
Mailing Address - Phone:432-682-7473
Mailing Address - Fax:432-682-2427
Practice Address - Street 1:3620 N BIG SPRING ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-4505
Practice Address - Country:US
Practice Address - Phone:432-682-7473
Practice Address - Fax:432-682-2427
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125609103Medicaid
TX890191Medicare PIN
TXC21032Medicare UPIN