Individual
JESUS GUILLERMO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5400 PINEMONT DR STE 108, HOUSTON, TX 77092-3400
(713) 263-7483
(713) 263-7484
Mailing address
5400 PINEMONT DR STE 108, HOUSTON, TX 77092-3400
(713) 263-7483
(713) 263-7484
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
J4999
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J4999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161678101
—
TX
01
—
8F1520
BC/BS INDIVIDUAL
TX
Enumeration date
07/21/2005
Last updated
11/07/2017
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