1558430884 NPI number — MR. JESUS LUIS RODRIGUEZ III MD

Table of content: MR. JESUS LUIS RODRIGUEZ III MD (NPI 1558430884)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558430884 NPI number — MR. JESUS LUIS RODRIGUEZ III MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RODRIGUEZ
Provider First Name:
JESUS
Provider Middle Name:
LUIS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
III
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558430884
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12602 TOEPPERWEIN RD STE 104
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIVE OAK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78233-3200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-599-6251
Provider Business Mailing Address Fax Number:
210-599-6254

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12602 TOEPPERWEIN RD STE 104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIVE OAK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78233-3200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-599-6251
Provider Business Practice Location Address Fax Number:
210-599-6254
Provider Enumeration Date:
11/08/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  L6604 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)