| Organization Name: | GABE RODRIGUEZ M.D., P.A. |
| NPI Number: | 1306206628 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GABRIEL RODRIGUEZ (OWNER) |
| Mailing Address: | 14418 Old Bandera Rd Helotes |
| State: | TX US |
| Postal Code: | 780233702 |
| Phone Number: | 2105382273 |
| Fax Number: | 2106953783 |
| NPI Enumeration Date: | 02/29/2016 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | M9619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |