Doctor Name: | DR. RAUL G RODRIGUEZ |
NPI Number: | 1245315845 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G6002 |
Business Practice Address: | 17720 Corporate Woods Dr. San Antonio, TX - 782593500 |
Business Phone Number: | 2104919400 |
Business Fax Number: | 2104913517 |
Mailing Address: | Po Box 1934, SAN ANTONIO |
State: | TX |
Postal Code: | 782971934 |
Phone Number: | 8185248786 |
Fax Number: | 2104913517 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | G6002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |