Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | BP10037749 | TX |
Y | 111NI0900X | Internist | BP10037749 | TX |
N | 207RC0200X | Critical Care Medicine | C151021 | CA |
N | 207RP1001X | Pulmonary Disease | C151021 | CA |
NPI | 1023321239 |
---|---|
Provider Name | Carlos E. Rodriguez Castro |
First Address | El Paso, TX 79905-2709 |
Second Address | El Paso, TX 79905-2709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2010 |
Last Update Date | 17/11/2021 |