Individual
RAUL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(915) 218-8568
Mailing address
12487 TIERRA ENCINO DR, EL PASO, TX 79938-4524
(469) 352-4746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
737513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
737513
RN 737513
TX
Enumeration date
11/07/2012
Last updated
09/28/2020
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