Individual
DR. JORGE LUIS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5413 CRENSHAW RD, SUITE 100, PASADENA, TX 77505-3143
(713) 477-2283
(713) 475-5986
Mailing address
5413 CRENSHAW RD, SUITE 100, PASADENA, TX 77505-3143
(713) 477-2283
(713) 475-5986
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H3512
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114519503
—
TX
01
—
89X760
PTAN
TX
Enumeration date
10/06/2005
Last updated
09/30/2015
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