Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | H6934 | TX |
NPI | 1316980998 |
---|---|
Provider Name | Jose Esteban Rodriguez |
First Address | Houston, TX 77024-4747 |
Second Address | Houston, TX 77063-2319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E08343 | (02) | TX |