Individual
VICTORIA A. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FPMHNP-BC
Contact information
Practice address
4502 MEDICAL DR, 7TH FL - INPATIENT, SAN ANTONIO, TX 78229-4402
(210) 358-1260
(210) 358-4020
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
596654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307113601
—
TX
01
—
307113602
MEDICAID CSHCN
TX
Enumeration date
09/11/2012
Last updated
12/14/2012
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