Provider Demographics
NPI:1457649782
Name:RODRIGUEZ, BRENDA ROSSANA
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:ROSSANA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 COOK RD
Mailing Address - Street 2:201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1463
Mailing Address - Country:US
Mailing Address - Phone:713-443-5978
Mailing Address - Fax:
Practice Address - Street 1:9050 COOK RD
Practice Address - Street 2:201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1463
Practice Address - Country:US
Practice Address - Phone:713-443-5978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health