| Jesse Steven Rodriguez, MD | |
|
135 Bunton Creek Rd, Suite 100, Kyle, TX 78640-5787 | |
| (512) 268-2068 | |
| Not Available |
| Full Name | Jesse Steven Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 135 Bunton Creek Rd, Kyle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184676058 | NPI | - | NPPES |
| TXB152460 | Other | TX | PTAN |
| 031467620 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | K7384 (Texas) | Primary |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Lake Travis Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851803688 PECOS PAC ID: 7315291929 Enrollment ID: O20181120000263 |
| Entity Name | Wh Services Austin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346950946 PECOS PAC ID: 5799157574 Enrollment ID: O20230203000374 |
| Entity Name | Texas Er Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235829359 PECOS PAC ID: 4880039338 Enrollment ID: O20240223003917 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Steven Rodriguez, MD Po Box 938, Killeen, TX 76540-0938 Ph: (254) 245-9045 | Jesse Steven Rodriguez, MD 135 Bunton Creek Rd, Suite 100, Kyle, TX 78640-5787 Ph: (512) 268-2068 |
Dr. Mitra Margaret Campbell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5125 | |
David Lawlor, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 | |
Humberto Salazar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 | |
Dr. Jonathan B Lopez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 | |
Shana Godfred-cato, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4100 Everett, Suite 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Gunnar Maximillian Reichenberger, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 Fax: 512-324-1017 |