Mr Jesus Luis Rodriguez Iii, MD | |
12602 Toepperwein Rd Ste 104, Live Oak, TX 78233-3200 | |
(210) 599-6251 | |
(210) 599-6254 |
Full Name | Mr Jesus Luis Rodriguez Iii |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 12602 Toepperwein Rd Ste 104, Live Oak, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558430884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L6604 (Texas) | Primary |
Entity Name | Synergy Healthcare Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356584544 PECOS PAC ID: 9133271216 Enrollment ID: O20090721000415 |
Mailing Address | Practice Location Address |
---|---|
Mr Jesus Luis Rodriguez Iii, MD 12602 Toepperwein Rd Ste 104, Live Oak, TX 78233-3200 Ph: (210) 599-6251 | Mr Jesus Luis Rodriguez Iii, MD 12602 Toepperwein Rd Ste 104, Live Oak, TX 78233-3200 Ph: (210) 599-6251 |
Nadine Liu, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11901 Toepperwein Rd, Suite 1402, Live Oak, TX 78233 Phone: 210-599-3840 Fax: 210-599-1713 | |
Samantha Kichena, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11515 Toepperwein Rd, Live Oak, TX 78233 Phone: 210-560-4500 Fax: 210-504-2388 | |
Olawale Olabiyi, Pediatrics Medicare: Medicare Enrolled Practice Location: 11485 Toepperwein Rd Ste 2, Live Oak, TX 78233 Phone: 210-372-7238 |