Provider Demographics
NPI:1124280110
Name:GUAJARDO & RODRIGUEZ, LLC
Entity type:Organization
Organization Name:GUAJARDO & RODRIGUEZ, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-457-5600
Mailing Address - Street 1:PO BOX 131285
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77219-1285
Mailing Address - Country:US
Mailing Address - Phone:713-457-5600
Mailing Address - Fax:713-457-5501
Practice Address - Street 1:4602 WASHINGTON AVE STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-5434
Practice Address - Country:US
Practice Address - Phone:713-457-5600
Practice Address - Fax:713-457-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8823261QP2000X
TX8857261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy