Individual
EDGAR DAVID RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2704 N GALLOWAY AVE STE 101, MESQUITE, TX 75150-6379
(972) 288-3376
Mailing address
7300 RANCH RD. 2222, BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 628-0465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
U8427
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/13/2020
Last updated
03/28/2024
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