Individual
DR. JAIME RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
415 S AIRPORT DR, STE. H, WESLACO, TX 78596-5395
(956) 447-2020
(956) 969-0459
Mailing address
415 S AIRPORT DR, STE. H, WESLACO, TX 78596-5395
(956) 447-2020
(956) 969-0459
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5749TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E70Z
BLUE CROSS BLUE SHIELD
TX
05
—
0306300-01
—
TX
Enumeration date
07/27/2006
Last updated
10/18/2013
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