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General NPI Number Information
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NPI Number | 1801818786
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Entity Type | Organization
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Legal Business Name | LUIS RODRIGUEZ M.D. P.A.
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 E RIDGE RD STE 8
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City | MCALLEN
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State | TX
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Zip | 78503-1536
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Country | US
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Telephone | 956-618-0404
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Fax | 956-618-3177
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Provider Business Mailing Address
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Address Line | 1400 E RIDGE RD STE 8
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City | MCALLEN
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State | TX
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Zip | 78503-1536
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Country | US
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Telephone | 956-618-0404
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Fax | 956-618-3177
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS ANTONIO RODRIGUEZ
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Credential | M.D.
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Telephone | 956-618-0404
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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 | J7164
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License Number State | TX
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