Organization
PERFORMANCE ENHANCING NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE RODRIGUEZ M.D. (PRESIDENT)
(956) 584-9000
Entity
Organization
Contact information
Practice address
801 E. NOLANA AVE, SUITE 4, MCALLEN, TX 78504-6113
(956) 686-2626
(956) 686-1616
Mailing address
801 E. NOLANA AVE, SUITE 4, MCALLEN, TX 78504-6113
(956) 686-2626
(956) 686-1616
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H2734
TX
Other
Enumeration date
08/05/2007
Last updated
07/02/2010
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