Individual
JORGE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9157 HUEBNER RD, SAN ANTONIO, TX 78240-1502
(210) 697-2001
(210) 558-7679
Mailing address
9157 HUEBNER RD, SAN ANTONIO, TX 78240-1502
(210) 697-2001
(210) 558-7679
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8197T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8197T
MEDICAL LICENSE
TX
Enumeration date
06/14/2013
Last updated
10/20/2020
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