Organization
GABRIEL RODRIGUEZ LORA
Active
Parent organization
GABRIEL RODRIGUEZ LORA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GABRIEL RODRIGUEZ LORA
Authorized official
GABRIEL RODRIGUEZ LORA PMNHP (OWNER)
(346) 573-5605
Entity
Organization
Contact information
Practice address
4520 W 34TH ST, HOUSTON, TX 77092-5952
(832) 649-5955
Mailing address
4520 W 34TH ST STE A, HOUSTON, TX 77092-5938
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11041197
LICENSE NUMBER
FL
Enumeration date
07/03/2025
Last updated
08/01/2025
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