Individual
NIDRA I RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7000 FANNIN ST STE 750, HOUSTON, TX 77030-5400
(713) 500-8360
(713) 500-8364
Mailing address
7000 FANNIN ST STE 700, HOUSTON, TX 77030-5400
(713) 500-8345
(713) 500-8348
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M2053
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
M2053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176057101
—
TX
01
—
176057102
CSHCN
TX
01
—
8K9798
BCBS
TX
Enumeration date
06/28/2006
Last updated
07/07/2023
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