Individual
MRS. MARISSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D., C.D.E.
Contact information
Practice address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9449
(512) 901-9749
Mailing address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9449
(512) 901-9749
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1819690
—
TX
Enumeration date
01/08/2007
Last updated
12/06/2016
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