Rodney Pevoto is a Professional in Fort Worth, Texas. Rodney Pevoto practices all healthcare services and medical treatments related to Professional. The NPI Number for Rodney Pevoto is 1518138130. The last update date is 2021-05-25.
Rodney Pevoto's current location address is 5412 Appalachian Way, Fort Worth, Texas. You can contact this provider via phone number 8178002833. The mailing address for Rodney Pevoto is 5412 Appalachian Way, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Rodney Pevoto |
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Address | 5412 Appalachian Way, Fort Worth, Texas |
Phone Number | 8178002833 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.ED LPC, |
NPI Number Detail
NPI Number | 1518138130 |
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Provider Enumeration Date | 2008-03-23 |
Last Updated Date | 2021-05-25 |
Provider Mailing Address Detail
Address | 5412 Appalachian Way |
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City | Fort Worth |
State | Texas (TX) |
Post Code | 761232821 |
Phone Number | 8178002833 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | 61144 |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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193987801 | TX | -- |
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What is the unique 10-digit identification code issued to Rodney Pevoto by the Centers for Medicare & Medicaid Services?
The Rodney Pevoto has been assigned the NPI (National Provider Identifier) 1518138130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Rodney Pevoto's facilities are situated?
The facilities of Rodney Pevoto are physically located at the following address: 5412 Appalachian Way, Fort Worth, TX, 761232821.
What is Rodney Pevoto's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rodney Pevoto is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518138130 to Rodney Pevoto?
The Centers for Medicare & Medicaid Services assigned the 1518138130 to Rodney Pevoto on 2008-03-23.
As of what date was the information regarding Rodney Pevoto, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rodney Pevoto, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-25.