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NPI Code Detail

MEDICARE: ESTELA RODRIGUEZ

MEDICARE: ESTELA RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1013849140
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTELA RODRIGUEZ
Provider Business Mailing Address
First Line : 12928 THYME WAY
Second Line :
City : SAINT HEDWIG
State : TX
Zip : 78152-0287
Country : US
Telephone Number : 252-422-0139
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 252-422-0139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ ESTELA RODRIGUEZ ” Practice Location

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