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Individual

MRS. URSULA SALOME RODRIGUEZ

Active
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Individual

MRS. URSULA SALOME RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
628160
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8L6386
MEDICARE PTAN
TX
01
8L6387
MEDICARE PTAN
TX
01
8L6388
MEDICARE PTAN
TX
01
8Y3615
BCBS
TX
01
F0305288
ANNP CERT #
Enumeration date
10/24/2006
Last updated
01/17/2013
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