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Individual

ORLANDO RODRIGUEZ SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
2202 TORRENTE DR, CORPUS CHRISTI, TX 78414-2197
(346) 234-5389
Mailing address
2202 TORRENTE DR, CORPUS CHRISTI, TX 78414-2197
(346) 234-5389

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8HL052
BCBS - XCITE SURGICAL
TX
01
SA00626
LSA - TEXAS MEDICAL BOARD
TX
Enumeration date
09/21/2015
Last updated
08/30/2023
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