Organization
ENRIQUE RODRIGUEZ, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE RODRIGUEZ M.D. (PRESIDENT)
(806) 771-1386
Entity
Organization
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
363L00000X
Nurse Practitioner
577500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011NR
BCBS
TX
05
—
163272102
—
TX
Enumeration date
07/05/2006
Last updated
01/28/2010
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