Individual
DR. JOAQUIN A. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J0229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020047361
RR/MEDICARE
TX
01
—
1016347-01
CSHCN
TX
05
—
1016347-02
—
TX
01
—
81766Y
BLUE SHIELD
TX
Enumeration date
03/31/2006
Last updated
12/28/2021
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