Individual
MELISSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7269 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(817) 529-6200
(817) 529-6205
Mailing address
7269 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(817) 529-6200
(817) 529-6205
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
110285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110285
STATE LICENSE
TX
Enumeration date
03/31/2010
Last updated
03/31/2010
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