Mark A Rodriguez Md, Pa | |
12602 Toepperwein Rd Suite 201 San Antonio TX 78233 | |
(210) 646-0404 | |
(210) 656-7965 |
Full Name | Mark A Rodriguez Md, Pa |
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Speciality | Family Medicine |
Location | 12602 Toepperwein Rd, San Antonio, Texas |
Authorized Official Name and Position | Mark A Rodriguez (OWNER/ADMINISTRATOR) |
Authorized Official Contact | 2106460404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mark A Rodriguez Md, Pa 12602 Toepperwein Rd Suite 201 San Antonio TX 78233 Ph: (210) 646-0404 | Mark A Rodriguez Md, Pa 12602 Toepperwein Rd Suite 201 San Antonio TX 78233 Ph: (210) 646-0404 |
NPI Number | 1255637906 |
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Provider Enumeration Date | 01/28/2011 |
Last Update Date | 02/07/2011 |
Medicare PECOS PAC ID | 5597949768 |
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Medicare Enrollment ID | O20110413000061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255637906 | NPI | - | NPPES |
4298050 | Other | TX | AETNA |
86691X | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H4659 (Texas) | Primary |
Provider Name | Mark A Rodriguez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982708111 PECOS PAC ID: 1254301831 Enrollment ID: I20040729001580 |
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