Provider Demographics
NPI:1043885122
Name:RODAS CEDENO, GABRIELA ALEJANDRA (MD)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:ALEJANDRA
Last Name:RODAS CEDENO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 BATES AVE
Mailing Address - Street 2:SUITE 1120
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:832-824-1780
Mailing Address - Fax:
Practice Address - Street 1:1102 BATES AVE
Practice Address - Street 2:SUITE 1120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-824-1780
Practice Address - Fax:718-334-2862
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-21
Last Update Date:2024-08-01
Deactivation Date:2022-11-14
Deactivation Code:
Reactivation Date:2024-03-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program