Individual
JOSE ALFREDO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
8900 VISCOUNT BLVD, STE 242, EL PASO, TX 79925
(915) 203-3041
Mailing address
8900 VISCOUNT BLVD, STE 242, EL PASO, TX 79925
(915) 203-3041
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LSA00SA50
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063JR
BCBS
TX
Enumeration date
01/31/2007
Last updated
07/08/2007
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