MEDICARE: JOSE ESTEBAN RODRIGUEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	H6934	TX

General Provider Information

NPI Number	:	1316980998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE ESTEBAN RODRIGUEZ MD

Provider Business Mailing Address
First Line	:	2500 FONDREN ROAD
Second Line	:	STE 210
City	:	HOUSTON
State	:	TX
Zip	:	77063-2313
Country	:	US
Telephone Number	:	713-781-5676
Fax Number	:	713-781-5712

Provider Business Practice Location Address
First Line	:	2500 FONDREN ROAD
Second Line	:	STE 210
City	:	HOUSTON
State	:	TX
Zip	:	77063-2313
Country	:	US
Telephone Number	:	713-781-5676
Fax Number	:	713-781-5712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	03/29/2022

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