Individual
MR. SAMUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
11106 BARROW LN, HOUSTON, TX 77065-5252
(713) 582-2011
Mailing address
PO BOX 691564, HOUSTON, TX 77269-1564
(281) 653-2924
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA0187
GENERAL SURGERY
TX
Enumeration date
04/23/2007
Last updated
01/12/2022
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