Individual
BRIAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
2319 W WISCONSIN RD, EDINBURG, TX 78539-9604
(956) 490-7278
Mailing address
2319 W WISCONSIN RD, EDINBURG, TX 78539-9604
(956) 490-7278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03901914
TEXAS DRIVERS LICENSE
TX
Enumeration date
05/17/2011
Last updated
05/17/2011
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