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Individual

ALWYN MILTON RODRIGUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-2568
Mailing address
21706 MAY APPLE COURT, CYPRESS, TX 77433

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M2464
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176345001
TX
01
176345002
CSHCN
TX
01
8S9952
BCBS
TX
Enumeration date
05/18/2006
Last updated
01/18/2011
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