| Graciela Rodriguez Dds Pa | |
|
15634 Wallisville Rd Suite 900 Houston TX 77049-4635 | |
| (713) 968-9842 | |
| (504) 617-6430 |
| Full Name | Graciela Rodriguez Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15634 Wallisville Rd, Houston, Texas |
| Authorized Official Name and Position | Graciela Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7139689842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graciela Rodriguez Dds Pa 15634 Wallisville Rd Suite 900 Houston TX 77049-4635 Ph: (713) 968-9842 | Graciela Rodriguez Dds Pa 15634 Wallisville Rd Suite 900 Houston TX 77049-4635 Ph: (713) 968-9842 |
| NPI Number | 1790009355 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790009355 | NPI | - | NPPES |
| 24146 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24146 (Texas) | Primary |
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