Individual
LUIS ANTONIO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E RIDGE RD STE 8, MCALLEN, TX 78503-1536
(956) 618-0404
(956) 618-3177
Mailing address
1400 E RIDGE RD STE 8, MCALLEN, TX 78503-1536
(956) 618-0404
(956) 618-3177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J7164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127109003
—
TX
Enumeration date
04/18/2007
Last updated
10/12/2023
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