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NPI Code Detail

MEDICARE: MRS. HILDA RODRIGUEZ D.O.

MEDICARE:  MRS. HILDA  RODRIGUEZ  D.O.
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
1207Q00000XFamily Medicine Physician6240OK

General Provider Information

NPI Number : 1619322211
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HILDA RODRIGUEZ D.O.
Provider Business Mailing Address
First Line : 3000 N GRAND BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-1818
Country : US
Telephone Number : 405-632-6688
Fax Number :
Provider Business Practice Location Address
First Line : 2400 NW 36TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7844
Country : US
Telephone Number : 405-632-6688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2016
Last Update Date : 02/26/2024

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Directions to “ MRS. HILDA RODRIGUEZ D.O.” Practice Location

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