Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 11333 | TX |
NPI | 1306157235 |
---|---|
Provider Name | Esteban Rodriguez |
First Address | Houston, TX 77081-5506 |
Second Address | Houston, TX 77081-5506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2010 |
Last Update Date | 25/06/2010 |