Provider Demographics
NPI:1558521013
Name:RODRIGUEZ, DAVID FELIPE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FELIPE
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 1:11314 ENGLISH ROSE TRL
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7070
Mailing Address - Country:US
Mailing Address - Phone:516-660-5934
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN STREET, MSB 3.144
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2359
Practice Address - Country:US
Practice Address - Phone:713-500-5760
Practice Address - Fax:713-500-5689
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9944208000000X, 2080P0205X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP9944OtherTEXAS MEDICAL BOARD