Individual
ANGELA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
(210) 340-1259
Mailing address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
(210) 340-1259
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
339857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173913801
—
TX
Enumeration date
08/08/2018
Last updated
05/10/2021
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