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Individual

JAVIER RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, BC, CNS

Contact information

Practice address
3519 W ALBERTA RD, EDINBURG, TX 78539-8466
(956) 240-2394
Mailing address
2701 KELLIE DR, EDINBURG, TX 78542-4707
(956) 240-2394

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
601952
TX
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
AP112177
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162240902
TX
Enumeration date
11/29/2005
Last updated
11/20/2021
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