Provider Demographics
NPI:1639920846
Name:RODRIGUEZ-GONZALEZ, LUCHA (RN)
Entity type:Individual
Prefix:
First Name:LUCHA
Middle Name:
Last Name:RODRIGUEZ-GONZALEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6613 BAYOU VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-2814
Mailing Address - Country:US
Mailing Address - Phone:832-814-6029
Mailing Address - Fax:
Practice Address - Street 1:7010 CHAMPIONS PLAZA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2396
Practice Address - Country:US
Practice Address - Phone:326-322-2897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX859106163WM0705X
TX1171099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical