Provider Demographics
NPI:1235345109
Name:RODRIGUEZ, DHARMA
Entity Type:Individual
Prefix:
First Name:DHARMA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5368 FREDERICKSBURG RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6108
Mailing Address - Country:US
Mailing Address - Phone:219-349-0096
Mailing Address - Fax:210-349-0097
Practice Address - Street 1:5368 FREDERICKSBURG RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6108
Practice Address - Country:US
Practice Address - Phone:219-349-0096
Practice Address - Fax:210-349-0097
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04271LCSW104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker