Provider Demographics
NPI:1083997381
Name:RODRIGUEZ, LIMAEL ESTEBAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LIMAEL
Middle Name:ESTEBAN
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2500 FONDREN ROAD
Mailing Address - Street 2:STE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2313
Mailing Address - Country:US
Mailing Address - Phone:137-915-6767
Mailing Address - Fax:713-781-5712
Practice Address - Street 1:2500 FONDREN ROAD
Practice Address - Street 2:STE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063
Practice Address - Country:US
Practice Address - Phone:713-781-5676
Practice Address - Fax:713-781-5712
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28633R208600000X
TXP6512208D00000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice