Individual
MS. MARTHA LAURA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
601 W SESAME DR, HARLINGEN, TX 78550-7930
(956) 423-0130
(956) 444-3294
Mailing address
PO BOX 533274, HARLINGEN, TX 78553
(956) 423-8263
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
31729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172473401
PERFORMING PROVIDER NUMBE
TX
Enumeration date
01/26/2007
Last updated
09/02/2008
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