| Javier Eduardo Sosa Rodriguez Pc | |
|
25511 Budde Rd Ste 3502 The Woodlands TX 77380-2080 | |
| (281) 466-4644 | |
| (281) 367-6760 |
| Full Name | Javier Eduardo Sosa Rodriguez Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 25511 Budde Rd Ste 3502, The Woodlands, Texas |
| Authorized Official Name and Position | Javier Eduardo Sosa Rodriguez (OWNER/PROVIDER) |
| Authorized Official Contact | 2814664644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Eduardo Sosa Rodriguez Pc 25511 Budde Rd Ste 3502 The Woodlands TX 77380-2080 Ph: (281) 466-4644 | Javier Eduardo Sosa Rodriguez Pc 25511 Budde Rd Ste 3502 The Woodlands TX 77380-2080 Ph: (281) 466-4644 |
| NPI Number | 1326603069 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 04/14/2020 |
| Medicare PECOS PAC ID | 6507198561 |
|---|---|
| Medicare Enrollment ID | O20191024002706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326603069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Javier E Sosa Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255641338 PECOS PAC ID: 6002098407 Enrollment ID: I20140701000800 |
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