Individual
JOHN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15889 PRESTON RD APT 1091, DALLAS, TX 75248-3810
(848) 448-5005
Mailing address
15889 PRESTON RD APT 1091, DALLAS, TX 75248-3810
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223396
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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