Individual
DR. GLADYS I RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4383 MEDICAL DR, 2ND FLOOR, SAN ANTONIO, TX 78229-3307
(210) 593-5700
(210) 593-5992
Mailing address
4383 MEDICAL DR, 2ND FLOOR, SAN ANTONIO, TX 78229-3307
(210) 593-5700
(210) 593-5992
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J1026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125625701
—
TX
01
—
5032088
AETNA PIN #
—
01
—
85847N
MEDICARE PTAN
TX
Enumeration date
07/27/2006
Last updated
08/18/2015
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