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NPI Code Detail

MEDICARE: MR. FRANCISCO JAVIER RODRIGUEZ JR. PA-C

MEDICARE:  MR. FRANCISCO JAVIER RODRIGUEZ JR. PA-C
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
1363A00000XPhysician AssistantPA04447TX

General Provider Information

NPI Number : 1114112547
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANCISCO JAVIER RODRIGUEZ JR. PA-C
Provider Business Mailing Address
First Line : 4351 E LOHMAN AVE STE 301
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8262
Country : US
Telephone Number : 575-532-9755
Fax Number : 575-532-8881
Provider Business Practice Location Address
First Line : 4351 E LOHMAN AVE STE 301
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8262
Country : US
Telephone Number : 575-532-9755
Fax Number : 575-532-8881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2007
Last Update Date : 09/14/2020

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Directions to “ MR. FRANCISCO JAVIER RODRIGUEZ JR. PA-C” Practice Location

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