Provider Demographics
NPI:1881615243
Name:RODNEY, ALAN JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JOSEPH
Last Name:RODNEY
Suffix:
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:501 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:281-332-7505
Practice Address - Fax:281-332-7616
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6603207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163377805Medicaid
TX8W0436OtherBLUECROSS BLUESHIELD
TX163377804Medicaid
TX163377806Medicaid
TX163377807Medicaid
TX163377808Medicaid
TX464065YKYCMedicare PIN
H99705Medicare UPIN
TX163377806Medicaid
TX8J4552Medicare PIN
TX8J0449Medicare PIN
TX8W0436OtherBLUECROSS BLUESHIELD
TX163377807Medicaid
TX8J4553Medicare PIN