Individual
DR. RICKY INOCENCIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3910
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-8878
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
678380
TX
208000000X
Pediatrics Physician
V1246
TX
2080P0207X
Pediatric Hematology & Oncology Physician
7250
OK
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
V1246
TX
Other
Enumeration date
04/17/2018
Last updated
05/24/2024
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