Individual
TRACY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6210 S BROADWAY AVE, TYLER, TX 75703-4413
(903) 579-2700
Mailing address
1408 SUNSET DR, TYLER, TX 75701-4600
(903) 316-1485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1032212
TX
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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