Provider Demographics
NPI:1609804046
Name:RODRIGUEZ, ANGEL ARTURO (MD)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:ARTURO
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 1:20367 PO BOX
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225
Mailing Address - Country:US
Mailing Address - Phone:713-538-3853
Mailing Address - Fax:
Practice Address - Street 1:5100 WESTHEIMER RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5596
Practice Address - Country:US
Practice Address - Phone:713-583-3853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5908207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173188702Medicaid
TX173188703Medicaid
TX202569401Medicaid
TXP00695628OtherRAILROAD MEDICARE
TX1609804046OtherBLUE CROSS BLUE SHIELD
TX173188701Medicaid
TX8BZ021OtherBLUE CROSS BLUE SHIELD
TX173188702Medicaid
TX8L25788Medicare PIN
TX202569401Medicaid
TX173188703Medicaid
TX8F10267Medicare PIN