Provider Demographics
NPI:1811614365
Name:RODRIGUEZ REYES, JOSE ALEJANDRO (ARNP)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:ALEJANDRO
Last Name:RODRIGUEZ REYES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 W PARKER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-3203
Mailing Address - Country:US
Mailing Address - Phone:832-482-1200
Mailing Address - Fax:832-957-6204
Practice Address - Street 1:440 W PARKER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-3203
Practice Address - Country:US
Practice Address - Phone:832-482-1200
Practice Address - Fax:832-957-6204
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-25
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1152535363LF0000X
FLF10221073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily