Provider Demographics
NPI:1316980998
Name:RODRIGUEZ, JOSE ESTEBAN (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:ESTEBAN
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2500 FONDREN ROAD
Mailing Address - Street 2:STE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2313
Mailing Address - Country:US
Mailing Address - Phone:713-781-5676
Mailing Address - Fax:713-781-5712
Practice Address - Street 1:2500 FONDREN ROAD
Practice Address - Street 2:STE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2313
Practice Address - Country:US
Practice Address - Phone:713-781-5676
Practice Address - Fax:713-781-5712
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2022-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH6934207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE08343Medicare UPIN