Individual
DR. CARLOS JOSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 5TH AVE STE 410, FORT WORTH, TX 76104-7311
(817) 250-7030
Mailing address
800 5TH AVE STE 410, FORT WORTH, TX 76104-7311
(817) 250-7030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R7867
TX
2086S0102X
Surgical Critical Care Physician
R7867
TX
Other
Enumeration date
04/17/2006
Last updated
06/10/2024
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