Individual
MRS. ELENA MAYRA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 MUNICIPAL DR, GUN BARREL CITY, TX 75156-3704
(903) 887-7992
(903) 887-7996
Mailing address
117 MEDICAL CIR, ATHENS, TX 75751-9003
(903) 676-3200
(903) 676-3277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09549
TX
Other
Enumeration date
12/23/2014
Last updated
10/05/2023
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