Individual
MS. CHRISTA C. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
4323 N JOSEY LN, PLAZA 1, SUITE 306, CARROLLTON, TX 75010-4633
(972) 939-7011
(972) 939-2951
Mailing address
12505 CARDINAL CREEK DR, FRISCO, TX 75033-0984
(214) 724-5366
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
551634
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08291
STATE BOARD PRESCRIPTIVE NUMBER
TX
05
—
146773001
—
TX
01
—
1891851556
NPI #
TX
01
—
551634
STATE BOARD OF NURSING LICENSE #
TX
Enumeration date
12/28/2006
Last updated
07/26/2014
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