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General NPI Number Information
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NPI Number | 1306206628
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Entity Type | Organization
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Legal Business Name | GABE RODRIGUEZ M.D., P.A.
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 14418 OLD BANDERA RD
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City | HELOTES
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State | TX
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Zip | 78023-3702
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Country | US
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Telephone | 210-538-2273
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Fax | 210-695-3783
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Provider Business Mailing Address
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Address Line | 14403 WINDY CRK
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City | HELOTES
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State | TX
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Zip | 78023-4531
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Country | US
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Telephone | 210-538-2273
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Fax | 210-695-3783
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Authorized Official
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Title or Position | OWNER
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Name | DR. GABRIEL RODRIGUEZ
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Credential | M.D.
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Telephone | 210-363-0970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | M9619
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License Number State | TX
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