Provider Information for 1073349403
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JORGE ALBERTO RODRIGUEZ LPC
Sex: Male
NPI: 1073349403
Last Updated: 2024-09-11
Certification Date: 2024-09-11
Certification Date: 2024-09-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073349403 | ||||||||
| Enumeration Date | 2024-09-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6231 ROLLING WATER DR HOUSTON, TX 77069-2547 United States Phone: 832-998-4987 | Fax: | ||||||||
| Primary Practice Address | 6231 ROLLING WATER DR HOUSTON, TX 77069-2547 United States Phone: 832-998-4987 | Fax: | ||||||||
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