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Individual

DR. ROLANDO XAVIER RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 W WOODLAWN AVE, SAN ANTONIO, TX 78212-3456
(210) 225-5723
(956) 795-0964
Mailing address
9813 SANDHILL, UNIT 36, LAREDO, TX 78045-8652
(956) 236-4735
(956) 795-0964

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J1772
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004407308
AETNA
TX
01
742645335001
STAR HRG
TX
01
86W140
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/11/2007
Last updated
07/08/2007
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