Provider Demographics
NPI:1548230360
Name:RODRIGUEZ, VICTOR F (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:F
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 200993
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77216-0993
Mailing Address - Country:US
Mailing Address - Phone:281-784-1111
Mailing Address - Fax:281-784-1555
Practice Address - Street 1:8850 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3006
Practice Address - Country:US
Practice Address - Phone:713-722-3775
Practice Address - Fax:713-722-3731
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8816207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150252801Medicaid
TX8F9286OtherBC/BS PROVIDER NUMBER
TX1548230360OtherTRICARE SOUTH
TX1548230360OtherTRICARE SOUTH
TXE30768Medicare UPIN
TX8F9286OtherBC/BS PROVIDER NUMBER
TXTXB134460Medicare PIN