Provider Demographics
NPI:1952780140
Name:RODRIGUEZ, JOEL ESTEBAN (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:ESTEBAN
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9180 KATY FWY STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7443
Mailing Address - Country:US
Mailing Address - Phone:813-984-1400
Mailing Address - Fax:713-984-0544
Practice Address - Street 1:9180 KATY FWY STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7443
Practice Address - Country:US
Practice Address - Phone:813-984-1400
Practice Address - Fax:713-984-0544
Is Sole Proprietor?:No
Enumeration Date:2015-05-21
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3587207Q00000X, 207QS0010X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine