Individual
ENRIQUE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1902 50TH ST, LUBBOCK, TX 79412-2706
(806) 771-1386
(806) 771-1388
Mailing address
PO BOX 54136, LUBBOCK, TX 79453-4136
(806) 771-1386
(806) 771-1388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J4998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122713113
FIRSTCARE
TX
05
—
163273901
—
TX
01
—
8V8340
BLUE CROSS BLUE SHIELD
TX
01
—
P00073756
RR MEDICARE
TX
Enumeration date
07/05/2006
Last updated
05/14/2008
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