Organization
VICTOR M. RODRIGUEZ, M.D., MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR M RODRIGUEZ M.D. (OWNER)
(713) 664-1918
Entity
Organization
Contact information
Practice address
4126 SOUTHWEST FWY, SUITE 520, HOUSTON, TX 77027-7310
(713) 664-1918
(713) 664-2313
Mailing address
42 LAKE MIST DR, SUGAR LAND, TX 77479-5860
(713) 664-1918
(713) 664-2313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K1030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039BS
MEDICARE
TX
05
—
096596402
—
TX
01
—
8X2000
BLUE CROSS / BLUE SHIELD
TX
01
—
D39093
UPIN
TX
Enumeration date
10/14/2009
Last updated
10/14/2009
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