Individual
DR. RAUL G RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17720 CORPORATE WOODS DR., SAN ANTONIO, TX 78259-3500
(210) 491-9400
(210) 491-3517
Mailing address
PO BOX 1934, SAN ANTONIO, TX 78297-1934
(818) 524-8786
(210) 491-3517
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
G6002
TX
2084P0800X
Psychiatry Physician
Primary
G6002
TX
2084P0802X
Addiction Psychiatry Physician
G6002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G6002
TEXES LICENSE
TX
Enumeration date
10/25/2006
Last updated
11/10/2010
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