Individual
ISABEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
151 RVG PKWY STE 103, WAXAHACHIE, TX 75165-5241
(469) 383-7323
(866) 816-0795
Mailing address
8045 W CAMP WISDOM RD APT 6102, DALLAS, TX 75236-5718
(806) 543-5414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TEMPORARY
TX
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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