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Individual

ERIC RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5114 MEDICAL DR APT 2348, SAN ANTONIO, TX 78229-3878
(831) 359-6405
Mailing address
207 RILLA VISTA DR, SAN ANTONIO, TX 78216-7633
(831) 359-6405

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
PENDING
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/15/2015
Last updated
08/26/2021
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