Healthcare Provider Details

I. General information

NPI: 1326284514
Provider Name (Legal Business Name): LUIS JAVIER RODRIGUEZ FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2008
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26103 GLENBRIAR SPRING LN
CYPRESS TX
77433-1355
US

IV. Provider business mailing address

26103 GLENBRIAR SPRING LN
CYPRESS TX
77433-1355
US

V. Phone/Fax

Practice location:
  • Phone: 281-256-2359
  • Fax:
Mailing address:
  • Phone: 281-256-2359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202106694NP-PP
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number69242
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number601953
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: