Rodriguez, Jorge Luis

Rodriguez, Jorge Luis is an individual health care provider with primary practice located at 5413 Crenshaw Rd Suite 100, Pasadena TX 77505-3143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rodriguez, Jorge Luis can be contacted via phone (713) 477-2283.

Contact Information

Primary practice address
5413 Crenshaw Rd Suite 100 Pasadena TX 77505-3143
Phone: (713) 477-2283
Fax: (713) 475-5986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H3512 Texas

Profile Details

NPI number 1760470561
LBN Legal business name Rodriguez, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760470561 NPPES
Texas MEDICAID 114519503
Texas Other 89X760

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