Organization
STILLPOINT MEDICAL GROUP P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL G RODRIGUEZ M.D. (PRESIDENT)
(818) 524-8786
Entity
Organization
Contact information
Practice address
2421 WORTH ST, HEMPHILL, TX 75948-7215
(409) 787-3772
(409) 787-4506
Mailing address
PO BOX 1934, SAN ANTONIO, TX 78297-1934
(818) 524-8786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C3918
TX
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
G6002
TX
2084P0800X
Psychiatry Physician
Primary
G6002
TX
2084P0802X
Addiction Psychiatry Physician
G6002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08478320
—
TX
01
—
G6002
TEXAS MEDICAL LICENSE
TX
Enumeration date
03/26/2007
Last updated
11/17/2010
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