Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | J7645 | TX |
NPI | 1013917293 |
---|---|
Provider Name | Dr. Encarnacion Rodriguez |
First Address | San Antonio, TX 78265-3635 |
Second Address | Mcallen, TX 78504-2477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 03/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
096830702 | (05) | TX |
G16427 | (02) | TX |