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1598869976

NPI Code Detail

MEDICARE: DR. RENE M RODRIGUEZ MD

MEDICARE: DR. RENE M RODRIGUEZ MD

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
1	207R00000X	Internal Medicine Physician	F3595	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	TXB164491	OTHER	TX	WELLMED PTAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598869976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENE M RODRIGUEZ MD

Provider Business Mailing Address
First Line	:	5846 WOOLDRIDGE RD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-2402
Country	:	US
Telephone Number	:	361-994-8979
Fax Number	:	361-994-8966

Provider Business Practice Location Address
First Line	:	5846 WOOLDRIDGE RD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-2402
Country	:	US
Telephone Number	:	361-994-8979
Fax Number	:	361-994-8966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	10/16/2015

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Directions to “ DR. RENE M RODRIGUEZ MD” Practice Location

Language	Start Address	Practice Location

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