Roderick D. Ekmark, Md, PA

NPI #1861181364 in La Vernia, Texas

Provider Information

NPI Number: 1861181364
Entity Type: Organization
Organization Name: Roderick D. Ekmark, Md, PA
Primary Specialty: Family Medicine
Enumeration Date: May 2, 2023
Last Updated: Jan 17, 2024

Practice Location

Address: 101 WOODBRIDGE DR BLDG B
Address 2: STE 101 AND 102
City: La Vernia
State: Texas
ZIP Code: 78121-0109
Phone: (830) 581-8027

Authorized Official

Name: RODERICK D EKMARK, MD
Title: PRESIDENT
Phone: (830) 581-8027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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