# JESUS A. RODRIGUEZ, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033373105
- **Authorized official:** JESUS A RODRIGUEZ MD (OWNER)
- **Authorized official phone:** (210) 680-8081

## Contact information

- **Practice address:** 9179 GRISSOM RD, SUITE 101, SAN ANTONIO, TX 78251-2803
- **Practice address phone:** (210) 680-8081
- **Practice address fax:** (210) 680-3133
- **Mailing address:** 9179 GRISSOM RD, SUITE 101, SAN ANTONIO, TX 78251-2803
- **Mailing address phone:** (210) 680-8081
- **Mailing address fax:** (210) 680-3133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 07/17/2008