Organization
CARLOS E RODRIGUEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS E RODRIGUEZ MD (CEO)
(830) 773-7339
Entity
Organization
Contact information
Practice address
708 S BIBB AVE, EAGLE PASS, TX 78852-5069
(830) 773-7339
(830) 773-4618
Mailing address
708 S BIBB AVE, EAGLE PASS, TX 78852-5069
(830) 773-7339
(830) 773-4618
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F7109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079788801
—
TX
01
—
87830G
BLUE CROSS
TX
Enumeration date
03/20/2007
Last updated
03/23/2011
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