Individual
RODOLFO A. ESTRADA ANZUETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3038
(210) 358-5945
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3038
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R9951
TX
207RP1001X
Pulmonary Disease Physician
Primary
R9951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398981601
—
TX
Enumeration date
07/25/2013
Last updated
08/02/2019
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