Individual
MR. LESLIE RAY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, ACNS-BC, APRN
Contact information
Practice address
3500 GASTON AVENUE, DALLAS, TX 75246-2026
(214) 820-0111
(214) 865-1580
Mailing address
3500 GASTON AVENUE, DALLAS, TX 75246-2026
(214) 865-1573
(214) 865-1580
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
522482
TX
364S00000X
Clinical Nurse Specialist
Primary
522482
TX
364SA2200X
Adult Health Clinical Nurse Specialist
522482
TX
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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