Jay S. Roden is a Pediatric Surgery in Dallas, Texas. Jay S. Roden practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Jay S. Roden is 1093898447. The last update date is 2020-05-11.
Jay S. Roden's current location address is 12200 Park Central Dr Ste 400, Dallas, Texas. You can contact this provider via phone number 2144839300 and fax number 2144839301. The mailing address for Jay S. Roden is 12200 Park Central Dr Ste 400, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay S. Roden |
|---|---|
| Address | 12200 Park Central Dr Ste 400, Dallas, Texas |
| Phone Number | 2144839300 |
| Fax Number | 2144839301 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093898447 |
|---|---|
| Provider Enumeration Date | 2006-10-21 |
| Last Updated Date | 2020-05-11 |
Provider Mailing Address Detail
| Address | 12200 Park Central Dr Ste 400 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752512116 |
| Phone Number | 2144839300 |
| Fax Number | 2144839301 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | G0019 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1330870-01 | TX | -- |
Post Comment/ Review Below
What is the Jay S. Roden's unique identification number?
The Jay S. Roden has been assigned the NPI (National Provider Identifier) Number 1093898447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jay S. Roden is physically located?
The Jay S. Roden is physically situated at the following address: 12200 Park Central Dr Ste 400, Dallas, TX, 752512116.
What is the Jay S. Roden's specialty and taxonomy code?
The Jay S. Roden's specialty is Pediatric Surgery, and the corresponding taxonomy code is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093898447 to Jay S. Roden?
The Jay S. Roden received its 1093898447 assignment from the Centers for Medicare & Medicaid Services on 2006-10-21.
When was the information related to Jay S. Roden most recently updated or refreshed?
The details pertaining to the Jay S. Roden, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-05-11.