Provider Demographics
NPI:1366853210
Name:RODRIGUEZ, GILBERT SAENZ JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:SAENZ
Last Name:RODRIGUEZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1320 WONDER WORLD DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7558
Mailing Address - Country:US
Mailing Address - Phone:512-396-3911
Mailing Address - Fax:512-353-0807
Practice Address - Street 1:1320 WONDER WORLD DR STE 101
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7558
Practice Address - Country:US
Practice Address - Phone:512-396-3911
Practice Address - Fax:512-353-0807
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2021-07-09
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Provider Licenses
StateLicense IDTaxonomies
TX7103207P00000X
TXQ7103207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX358190211Medicaid
867349OtherMEDICARE
P02361525OtherRR MEDICARE