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NPI Code Detail

MEDICARE: LUKE THORNE RODRIGUEZ

MEDICARE: LUKE THORNE RODRIGUEZ
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
1183700000XPharmacy Technician46281TX

General Provider Information

NPI Number : 1902735566
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE THORNE RODRIGUEZ
Provider Business Mailing Address
First Line : 2652 LAKE AUSTIN BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78703-4429
Country : US
Telephone Number : 512-474-2001
Fax Number : 800-465-8021
Provider Business Practice Location Address
First Line : 2652 LAKE AUSTIN BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78703-4429
Country : US
Telephone Number : 512-474-2001
Fax Number : 800-465-8021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ LUKE THORNE RODRIGUEZ ” Practice Location

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