Individual
ANGEL A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W 38TH ST STE 110, AUSTIN, TX 78705-1128
(512) 505-5500
(512) 334-2702
Mailing address
9715 BURNET RD STE 200, AUSTIN, TX 78758-5390
(512) 505-5500
(512) 334-2702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9874
TX
207RH0000X
Hematology (Internal Medicine) Physician
L9874
TX
207RX0202X
Medical Oncology Physician
Primary
L9874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487818811
BLUE CROSS BLUE SHIELD
TX
05
—
194797005
—
TX
05
—
194797006
—
TX
05
—
194797007
—
TX
05
—
194797008
—
TX
05
—
194797009
—
TX
05
—
194797010
—
TX
01
—
8CS218
BLUE CROSS BLUE SHIELD
TX
01
—
8EE777
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/15/2008
Last updated
07/21/2022
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