Individual
ALEXANDRA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3612 PERA AVE, EL PASO, TX 79905-2412
(915) 533-7057
(915) 533-7197
Mailing address
3612 PERA AVE, EL PASO, TX 79905-2412
(915) 533-7057
(915) 533-7197
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP134744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831614882
—
TX
Enumeration date
08/10/2017
Last updated
09/30/2020
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