Rodriguez, Jose Raul

Rodriguez, Jose Raul is an sole proprietor health care provider with primary practice located at 23 Terravale Ct , Spring TX 77381-3504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Rodriguez, Jose Raul can be contacted via phone (956) 459-7027.

Contact Information

Primary practice address
23 Terravale Ct Spring TX 77381-3504
Phone: (956) 459-7027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E0278 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X E0278 Texas

Profile Details

NPI number 1376503078
LBN Legal business name Rodriguez, Jose Raul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2006
Last updated Jan 26th, 2021 - about 5 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 1376503078 NPPES
Texas Other 00N027 BLUE CROSS BLUE SHIELD OF TEXAS
Texas MEDICAID 120451305 BLUE CROSS BLUE SHIELD OF TEXAS
Texas Other 020045338 BLUE CROSS BLUE SHIELD OF TEXAS

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