Individual
JACINTO OMAR KADOUR RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1604 E 8TH ST STE A, WESLACO, TX 78596-5587
(956) 447-5557
(956) 447-5747
Mailing address
1604 E 8TH ST, STE A, WESLACO, TX 78596-5587
(956) 630-1000
(956) 213-0607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085439
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
S9324
TX
207RP1001X
Pulmonary Disease Physician
Primary
S9324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427625501
—
TX
Enumeration date
05/22/2007
Last updated
02/17/2022
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