Rodriguez, Jorge S

Rodriguez, Jorge S is an individual health care provider with primary practice located at 3845 Spid , Corpus Christi TX 78415. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Rodriguez, Jorge S can be contacted via phone (361) 854-4626.

Contact Information

Primary practice address
3845 Spid Corpus Christi TX 78415
Phone: (361) 854-4626
Fax: (361) 851-5193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X G6791 Texas

Profile Details

NPI number 1912065954
LBN Legal business name Rodriguez, Jorge S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 9th, 2007 - about 18 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 1912065954 NPPES
Texas MEDICAID 0938326-01

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