Provider Demographics
NPI:1487683827
Name:RODRIGUEZ, CLAUDIA EUGENIA (DDS)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:EUGENIA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 N EXPRESSWAY STE D
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4335
Mailing Address - Country:US
Mailing Address - Phone:956-350-0059
Mailing Address - Fax:
Practice Address - Street 1:4920 N EXPRESSWAY
Practice Address - Street 2:STE. E
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4334
Practice Address - Country:US
Practice Address - Phone:956-350-0059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212281223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1487683827Medicaid