Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 26299 | TX |
Y | 213EG0000X | General Practice | 26299 | TX |
N | 1223G0001X | General Practice | 3531-09 | MS |
N | 213EG0000X | General Practice | 3531-09 | MS |
N | 1223G0001X | General Practice | 55219 | CA |
N | 213EG0000X | General Practice | 55219 | CA |
NPI | 1003000654 |
---|---|
Provider Name | Dr. Caroline Marie Rhodes |
First Address | San Antonio, TX 78258 |
Second Address | San Antonio, TX 78258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 10/06/2011 |