Provider Demographics
NPI:1477794154
Name:L G SOLUTIONS CO. PL
Entity Type:Organization
Organization Name:L G SOLUTIONS CO. PL
Other - Org Name:CLINICA SAN LUIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:APRN, FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:281-851-2214
Mailing Address - Street 1:26103 GLENBRIAR SPRING LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1355
Mailing Address - Country:US
Mailing Address - Phone:281-851-2214
Mailing Address - Fax:
Practice Address - Street 1:5716 BELLAIRE BLVD
Practice Address - Street 2:D2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5506
Practice Address - Country:US
Practice Address - Phone:281-851-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX601953363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty