Individual
MR. RICHARD RUBEN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSTFA
Contact information
Practice address
3463 MAGIC DR, SUITE T21, SAN ANTONIO, TX 78229-2973
(210) 614-8101
(210) 614-8102
Mailing address
3463 MAGIC DR, SUITE T21, SAN ANTONIO, TX 78229-2973
(210) 614-8101
(210) 614-8102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
645577
TX
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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