Provider Demographics
NPI:1043761620
Name:LESPRON, RUBEN RODRIQUEZ (RD)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:RODRIQUEZ
Last Name:LESPRON
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 WEST LOOP N STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1751
Mailing Address - Country:US
Mailing Address - Phone:713-690-1991
Mailing Address - Fax:713-690-1981
Practice Address - Street 1:333 WEST LOOP N STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1751
Practice Address - Country:US
Practice Address - Phone:713-690-1991
Practice Address - Fax:713-690-1981
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
86009593OtherCDR