Individual
BRENDA GONZALEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13007 WELLINGTON, HORIZON CITY, TX 79928-2201
(915) 241-6894
Mailing address
13007 WELLINGTON, HORIZON CITY, TX 79928-2201
(915) 241-6894
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
765808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
765808
RN
—
Enumeration date
12/25/2019
Last updated
12/25/2019
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