Victor M. Rodriguez, M.D., Medical Group, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

K1030 Issued in TX

Legal business name

VICTOR M. RODRIGUEZ, M.D., MEDICAL GROUP, PLLC

Practice address

4126 Southwest Fwy
Suite 520
Houston, TX 77027-7310

Phone

(713) 664-1918

Fax

(713) 664-2313

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victor M Rodriguez, M.D.NPI 1023075496

Title

Owner

Phone

(713) 664-1918

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Manuel Rodriguez, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1023075496
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1114252764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LAKE MIST DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795860",
            "telephone_number": "713-664-1918",
            "fax_number": "713-664-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY",
            "address_2": "SUITE 520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277310",
            "telephone_number": "713-664-1918",
            "fax_number": "713-664-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR M. RODRIGUEZ, M.D., MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-664-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K1030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D39093",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0039BS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096596402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "8X2000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton Vickers, DC
• Stephen Lee Vickers, D.D.S.
• Theresa G Vicroy, M.D.
• Victor a. Oderinde, P.C.
• Victor M Zurita DDS
• Victor Rodriguez DDS, PA (Clear Lake Dental Associates)
• Victor T. Chu, O.D.,P.a. (Vision Care)
• Victor Van Phan DO PA (Premier Orthopaedics and Sports Medicine)
• Cheryl B Victor, LMT
• David W Victor III, M.D.

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.