Provider Demographics
NPI:1134137037
Name:RODRIGUEZ, FRANCISCO CANTU (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:CANTU
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANCISCO
Other - Middle Name:
Other - Last Name:RODRIGUEZ CANTU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1730 SW MILITARY DR
Mailing Address - Street 2:STE 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221
Mailing Address - Country:US
Mailing Address - Phone:210-924-7356
Mailing Address - Fax:210-924-0842
Practice Address - Street 1:1730 SW MILITARY DR
Practice Address - Street 2:STE 201
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221
Practice Address - Country:US
Practice Address - Phone:210-924-7356
Practice Address - Fax:210-924-0842
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD6152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123597002Medicaid
TXD67656Medicare UPIN
864126Medicare ID - Type Unspecified