Provider Demographics
NPI:1376795955
Name:OVIEDO, RODOLFO JOSE (MD, FACS, FASMBS)
Entity type:Individual
Prefix:DR
First Name:RODOLFO
Middle Name:JOSE
Last Name:OVIEDO
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Gender:M
Credentials:MD, FACS, FASMBS
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Mailing Address - Street 1:4848 NE STALLINGS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-1266
Mailing Address - Country:US
Mailing Address - Phone:936-221-5560
Mailing Address - Fax:936-221-5710
Practice Address - Street 1:4848 NE STALLINGS DR STE 201
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-1266
Practice Address - Country:US
Practice Address - Phone:936-221-5560
Practice Address - Fax:936-221-5710
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2025-11-12
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Provider Licenses
StateLicense IDTaxonomies
TXQ8318208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery