Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5009 HERITAGE AVE, COLLEYVILLE, TX 76034-5913
(817) 590-0800
Mailing address
1417 COUNTRY MANOR RD, FORT WORTH, TX 76134-3626
(817) 807-3390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA13439
TX
363AS0400X
Surgical Physician Assistant
Primary
PA13439
TX
Other
Enumeration date
02/26/2020
Last updated
11/12/2025
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