Provider Demographics
NPI:1386142693
Name:RODRIGUEZ, JEFFREY GABRIEL II (MS, LAT, ATC)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:GABRIEL
Last Name:RODRIGUEZ
Suffix:II
Gender:M
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5353 INSTITUTE LN APT 39
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1887
Mailing Address - Country:US
Mailing Address - Phone:512-775-4890
Mailing Address - Fax:
Practice Address - Street 1:RICE UNIVERSITY, MS 548, 6100 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-7700
Practice Address - Country:US
Practice Address - Phone:713-348-4739
Practice Address - Fax:713-348-5621
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAT66282255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer