Individual
LUIS RODRIGUEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
11900 SHADOW CREEK PKWY APT 1237, PEARLAND, TX 77584-5268
(832) 270-1147
Mailing address
11900 SHADOW CREEK PKWY APT 1237, PEARLAND, TX 77584-5268
(832) 270-1147
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00805
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/07/2017
Last updated
12/29/2020
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