Provider Demographics
NPI:1740785062
Name:ASIS, RODOLFO WALSE JR (PT)
Entity type:Individual
Prefix:MR
First Name:RODOLFO
Middle Name:WALSE
Last Name:ASIS
Suffix:JR
Gender:M
Credentials:PT
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Mailing Address - Street 1:1020 CENTRAL PKWY S
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5021
Mailing Address - Country:US
Mailing Address - Phone:623-499-6422
Mailing Address - Fax:210-495-1479
Practice Address - Street 1:1020 CENTRAL PKWY S
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-5021
Practice Address - Country:US
Practice Address - Phone:210-798-2273
Practice Address - Fax:210-495-1479
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2025-01-09
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Provider Licenses
StateLicense IDTaxonomies
TX1273949208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation