Individual
JOSE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 ATKINSON WAY, EL PASO, TX 79915-2600
(915) 373-3112
Mailing address
8108 PARKLAND DR, EL PASO, TX 79925-3847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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