Individual
DR. JORGE EDUARDO MASSARE-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
709 HOLLYBROOK DR, SUITE 2301, LONGVIEW, TX 75605-2411
(903) 757-5804
(903) 232-2888
Mailing address
PO BOX 19036, BELFAST, ME 04915-4085
(903) 381-7263
(903) 381-7269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M7577
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M7577
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205353003
—
TX
Enumeration date
05/29/2008
Last updated
05/05/2020
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