Individual
DR. JOSE MARIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4421 CONLIN ST, SUITE 101, METAIRIE, LA 70006-2154
(504) 220-3803
Mailing address
4421 CONLIN ST, SUITE 101, METAIRIE, LA 70006-2154
(504) 220-3803
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.202660
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075353
—
LA
Enumeration date
06/12/2008
Last updated
03/18/2014
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