Rodriguez, Porfirio Jorge

Rodriguez, Porfirio Jorge is an individual health care provider with primary practice located at 5413 Crenshaw Rd Ste 100, Pasadena TX 77505-3143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rodriguez, Porfirio Jorge can be contacted via phone (713) 477-2283.

Contact Information

Primary practice address
5413 Crenshaw Rd Ste 100 Pasadena TX 77505-3143
Fax: (713) 475-5986
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J7165 Texas

Profile Details

NPI number 1659368926
LBN Legal business name Rodriguez, Porfirio Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Aug 21st, 2018 - about 7 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 1659368926 NPPES
Texas MEDICAID 106315802

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