Individual
MANUEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 354-5696
(806) 354-5693
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 354-5696
(806) 354-5693
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L6162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02133237
—
NM
05
—
150956402
—
TX
05
—
150956403
—
TX
05
—
200003610A
—
OK
Enumeration date
07/07/2006
Last updated
07/02/2014
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