Individual
LAURA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
Mailing address
4312 POLK ST, WACO, TX 76705-4848
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F05260593
TX
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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