| Rodriguez Medical Management | |
|
15825 Bellaire Blvd Ste I Houston TX 77083-2347 | |
| (281) 560-4968 | |
| (832) 328-1912 |
| Full Name | Rodriguez Medical Management |
|---|---|
| Speciality | Clinic/Center |
| Location | 15825 Bellaire Blvd Ste I, Houston, Texas |
| Authorized Official Name and Position | Julio C Rodriguez (MANAGING MEMBER) |
| Authorized Official Contact | 2814140930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodriguez Medical Management 15825 Bellaire Blvd Ste I Houston TX 77083-2347 Ph: (281) 560-4968 | Rodriguez Medical Management 15825 Bellaire Blvd Ste I Houston TX 77083-2347 Ph: (281) 560-4968 |
| NPI Number | 1598501165 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 10/14/2024 |
| Medicare PECOS PAC ID | 4587191218 |
|---|---|
| Medicare Enrollment ID | O20241219001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598501165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Julio C Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316352735 PECOS PAC ID: 8224166921 Enrollment ID: I20170605000841 |
| Provider Name | Alianet Diaz Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477190734 PECOS PAC ID: 0840731519 Enrollment ID: I20240920003036 |
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