Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 65938 - 20 | WI |
N | 111NI0900X | Internist | 65938 - 20 | WI |
N | 207RG0100X | Gastroenterologist | 65938 - 20 | WI |
NPI | 1033436829 |
---|---|
Provider Name | Dr. Ruben Hernaez Rodriguez |
First Address | Houston, TX 77030-4211 |
Second Address | Houston, TX 77030-4211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 31/08/2016 |