Individual
DR. ANTONIO AARON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 COLONY DR, ADA, OK 74820-2329
(580) 235-0299
(580) 235-0297
Mailing address
5917 CROSSTOWN EXPRESSWAY SH 286, CORPUS CHRISTI, TX 78417
(361) 854-0811
(361) 806-5040
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
276183
NY
207P00000X
Emergency Medicine Physician
Q6465
TX
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
Q6465
TX
207R00000X
Internal Medicine Physician
BP1-00040918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04065821
—
NY
05
—
362584005
—
TX
01
—
8FZ000
BC/BS PIN
TX
Enumeration date
06/17/2011
Last updated
12/30/2024
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