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Individual
SANDRA DENISE RODRIGUEZ
Active
Individual
SANDRA DENISE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L9457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166320501
—
TX
05
—
166320502 WITH TMG
—
TX
01
—
1861428948
BCBS OF TX
TX
Enumeration date
06/23/2006
Last updated
04/20/2016
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