Individual
DR. FAUSTO A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905
(915) 521-7620
(915) 521-7842
Mailing address
11355 MONTWOOD DR STE B, EL PASO, TX 79936-3883
(915) 855-2454
(915) 857-0492
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
K4215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103900022
—
TX
05
—
103904203
—
TX
01
—
103904205
CIDC
TX
05
—
76973
—
NM
Enumeration date
11/10/2005
Last updated
08/04/2018
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