# JOSE A RODRIGUEZ PA-C LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RGV CHILDRENS CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770732505
- **Authorized official:** MR. JOSE A RODRIGUEZ PA-C (PA-C)
- **Authorized official phone:** (956) 783-9100

## Contact information

- **Practice address:** 1044 W ACACIA AVE, STE B, ALAMO, TX 78516
- **Practice address phone:** (956) 783-9100
- **Practice address fax:** (956) 783-9809
- **Mailing address:** 1044 W ACACIA AVE, STE B, ALAMO, TX 78516
- **Mailing address phone:** (956) 783-9100
- **Mailing address fax:** (956) 783-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2008
- **Last updated:** 02/24/2009
