ENRIQUE RODRIGUEZ, M.D., P.A.
Nursing at 50 St, Lubbock, TX

License number
Texas J4998
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Texas 577500
Category
Nursing
Type
Nurse Practitioner
Owner
Name: ENRIQUE RODRIGUEZ M.D.
Title: PRESIDENT
Phone: (806) 771-1386
Address
Address
1902 50Th St, Lubbock, TX 79412
National Provider ID: 1467482182
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENRIQUE RODRIGUEZ, M.D., PA

Lubbock, TX

Doing business as:
Enrique Rodriguez, M.D., PA
Registration:
Oct 17, 2003
Addresses:
PO Box 54136, Lubbock, TX 79453 (Mailing)
2424 50 St, Lubbock, TX 79412
State ID:
0800259505
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member, Vice-President:
Enrique Rodriguez (President, Treasurer, Secretary, Director, Member, Vice-President)
TIN:
32035706483

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