Individual
HECTOR BRUNET RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8001 YOUREE DR, SUITE 750, SHREVEPORT, LA 71115-2302
(318) 212-3939
(318) 212-3965
Mailing address
8001 YOUREE DR, SUITE 750, SHREVEPORT, LA 71115-2302
(318) 212-3939
(318) 212-3965
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD206140
LA
390200000X
Student in an Organized Health Care Education/Training Program
17860
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17860
STATE LICENSE
PR
Enumeration date
09/12/2008
Last updated
06/21/2021
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