Individual
DR. KIM V RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 SADDLE BRONC DR, EL PASO, TX 79925-7045
(915) 593-2033
(915) 595-3916
Mailing address
1160 SADDLE BRONC DR, EL PASO, TX 79925-7045
(915) 593-2033
(915) 595-3916
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H5485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098826301
—
TX
Enumeration date
01/04/2006
Last updated
07/15/2011
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