Individual
DR. FRANCISCO BERNARDO RODRIGUEZ IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19234 STONEHUE, SAN ANTONIO, TX 78258-3477
(210) 837-3125
Mailing address
PO BOX 15247, SAN ANTONIO, TX 78212-8447
(210) 837-3125
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
53296
MT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
K2111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X747
MEDICARE PTAN
TX
05
—
165996301
—
TX
01
—
8M8861
BLUE CROSS
TX
Enumeration date
07/24/2006
Last updated
09/21/2020
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