Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | M8961 | TX |
NPI | 1528279924 |
---|---|
Provider Name | Dr. Sergio Rodriguez |
First Address | Mcallen, TX 78502-4624 |
Second Address | Edinburg, TX 78539-8278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 15/06/2020 |