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Organization
MARK A RODRIGUEZ MD, PA
Active
Organization
MARK A RODRIGUEZ MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A RODRIGUEZ MD (OWNER/ADMINISTRATOR)
(210) 646-0404
Entity
Organization
Contact information
Practice address
12602 TOEPPERWEIN RD, SUITE 201, SAN ANTONIO, TX 78233
(210) 646-0404
(210) 656-7965
Mailing address
12602 TOEPPERWEIN RD, SUITE 201, SAN ANTONIO, TX 78233
(210) 646-0404
(210) 656-7965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H4659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4298050
AETNA
TX
01
—
86691X
BCBS
TX
Enumeration date
01/28/2011
Last updated
02/07/2011
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