Provider Demographics
NPI:1134616691
Name:RODRIGUEZ ALONSO, ESTELA (MD)
Entity type:Individual
Prefix:
First Name:ESTELA
Middle Name:
Last Name:RODRIGUEZ ALONSO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:503 MEDICAL CENTER BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2928
Mailing Address - Country:US
Mailing Address - Phone:936-788-1060
Mailing Address - Fax:936-788-2844
Practice Address - Street 1:1 HOSPITAL PLZ
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3602
Practice Address - Country:US
Practice Address - Phone:203-276-7147
Practice Address - Fax:203-276-7368
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT2484207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine