Individual
ROCKY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
8201 EWING HALSELL DR, SAN ANTONIO, TX 78229-3707
(210) 575-4837
Mailing address
1011 BROADWAY ST APT 265, SAN ANTONIO, TX 78215-1552
(956) 322-7978
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP145665
TX
363LA2100X
Acute Care Nurse Practitioner
AP145665
TX
Other
Enumeration date
04/07/2020
Last updated
07/12/2022
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