Rodriguez, Mario A

Rodriguez, Mario A is an individual health care provider with primary practice located at 201 N Fm 3167 Ste 109 , Rio Grande City TX 78582-6725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodriguez, Mario A can be contacted via phone (956) 263-1671.

Contact Information

Primary practice address
201 N Fm 3167 Ste 109 Rio Grande City TX 78582-6725
Fax: (956) 263-1674
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K3639 Texas

Profile Details

NPI number 1528086006
LBN Legal business name Rodriguez, Mario A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528086006 NPPES
Texas MEDICAID 126933404

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