Provider Demographics
NPI:1811376924
Name:RODRIGUEZ, LYNDSAY N (MD)
Entity type:Individual
Prefix:MRS
First Name:LYNDSAY
Middle Name:N
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:LYNDSAY
Other - Middle Name:ICE
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:350 KINGWOOD MEDICAL DR STE 350
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6405
Mailing Address - Country:US
Mailing Address - Phone:281-359-7000
Mailing Address - Fax:
Practice Address - Street 1:701 W 5TH ST
Practice Address - Street 2:SUITE 1229
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79763-4206
Practice Address - Country:US
Practice Address - Phone:432-703-5083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-21
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS1904207V00000X
TX594674207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology