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NPI Code Detail

MEDICARE: DR. JAVIER FERNANDO RODRIGUEZ CARDONA PHD CLINICAL PSYCHOL

MEDICARE: DR. JAVIER FERNANDO RODRIGUEZ CARDONA PHD CLINICAL PSYCHOL
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
1103TC0700XClinical Psychologist5985PR
2103TC0700XClinical Psychologist40388TX

General Provider Information

NPI Number : 1164936811
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAVIER FERNANDO RODRIGUEZ CARDONA PHD CLINICAL PSYCHOL
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 956-597-4839
Fax Number : 737-358-4142
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 956-597-4839
Fax Number : 737-358-4142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2017
Last Update Date : 02/02/2026

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