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Individual

LIZETTE RODRIGUEZ RIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-5467
(210) 358-6880
Mailing address
PO BOX 734812, DALLAS, TX 75373-4812
(210) 358-9500
(210) 358-9183

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
762893
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129751
TX

Other

Enumeration date
03/04/2016
Last updated
01/28/2021
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