Individual
ELIZABETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1717 SCOTTSDALE DR STE 120, CEDAR PARK, TX 78641-4340
(512) 771-9647
Mailing address
1901 CEDAR BEND DR, ROUND ROCK, TX 78681-2126
(512) 771-9647
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
788726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
788726
RN LICENSE NUMBER
TX
Enumeration date
05/14/2020
Last updated
05/14/2020
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