Individual
ERNESTO ALONZO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6278
(608) 756-6289
Mailing address
2317 W 5TH STREET, PMB 304, PLAINVIEW, TX 79072
(806) 283-7989
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
526665
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
047961
TX
367500000X
Certified Registered Nurse Anesthetist
CRNA00638
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088734109
—
TX
01
—
8Y5244
BCBS OF TEXAS
TX
Enumeration date
07/06/2006
Last updated
05/28/2024
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