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NPI Code Detail

MEDICARE: DR. JOSE RUBEN RODRIGUEZ MD

MEDICARE:  DR. JOSE RUBEN  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
1208600000XSurgery Physician223335MA
22086S0120XPediatric Surgery Physician48734CT
32086S0120XPediatric Surgery PhysicianP1016TX

General Provider Information

NPI Number : 1922070135
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE RUBEN RODRIGUEZ MD
Provider Business Mailing Address
First Line : 6701 FANNIN ST
Second Line : SUITE 1210
City : HOUSTON
State : TX
Zip : 77030-2608
Country : US
Telephone Number : 832-822-3135
Fax Number :
Provider Business Practice Location Address
First Line : 6701 FANNIN ST
Second Line : SUITE 1210
City : HOUSTON
State : TX
Zip : 77030-2608
Country : US
Telephone Number : 832-822-3135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 09/23/2011

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Directions to “ DR. JOSE RUBEN RODRIGUEZ MD” Practice Location

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