Massare-Rodriguez, Jorge Eduardo

Massare-Rodriguez, Jorge Eduardo is an individual health care provider with primary practice located at 709 Hollybrook Dr Suite 2301, Longview TX 75605-2411. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Massare-Rodriguez, Jorge Eduardo can be contacted via phone (903) 757-5804.

Contact Information

Primary practice address
709 Hollybrook Dr Suite 2301 Longview TX 75605-2411
Phone: (903) 757-5804
Fax: (903) 232-2888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M7577 Texas
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X M7577 Texas

Profile Details

NPI number 1093973661
LBN Legal business name Massare-Rodriguez, Jorge Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated May 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093973661 NPPES
Texas MEDICAID 205353003

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