Provider Demographics
NPI:1871595108
Name:RODRIGUEZ, FRANCISCO R (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:R
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 CURIE DR
Mailing Address - Street 2:STE 4400
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2994
Mailing Address - Country:US
Mailing Address - Phone:915-577-0730
Mailing Address - Fax:915-577-0763
Practice Address - Street 1:1700 CURIE DR
Practice Address - Street 2:STE 4400
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2994
Practice Address - Country:US
Practice Address - Phone:915-577-0730
Practice Address - Fax:915-577-0763
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7493208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122384404Medicaid
F24742Medicare UPIN
00915LMedicare ID - Type Unspecified