Provider Demographics
NPI:1326603069
Name:JAVIER EDUARDO SOSA RODRIGUEZ PC
Entity Type:Organization
Organization Name:JAVIER EDUARDO SOSA RODRIGUEZ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:SOSA RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-466-4644
Mailing Address - Street 1:25511 BUDDE RD STE 3502
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2080
Mailing Address - Country:US
Mailing Address - Phone:281-466-4644
Mailing Address - Fax:281-367-6760
Practice Address - Street 1:25511 BUDDE RD STE 3502
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2080
Practice Address - Country:US
Practice Address - Phone:281-466-4644
Practice Address - Fax:281-367-6760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty