Individual
GIDEAO RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 E TORONTO AVE, MCALLEN, TX 78503-1209
(956) 687-6155
Mailing address
4032 HICKORY AVE, MCALLEN, TX 78501-8183
(956) 687-6155
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
P4375
TX
207P00000X
Emergency Medicine Physician
Primary
P4375
TX
261QP2300X
Primary Care Clinic/Center
P4375
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314070901
—
TX
01
—
8BP602
BLUE SHIELD OF TX
TX
01
—
P01207671
RAILROAD MEDICARE
TX
Enumeration date
05/04/2009
Last updated
07/08/2014
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