Individual
BRANDON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3917 WASHMON AVE, HARLINGEN, TX 78552-4838
(956) 245-4870
Mailing address
3917 WASHMON AVE, HARLINGEN, TX 78552-4838
(956) 245-4870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
985960
TX
164X00000X
Licensed Vocational Nurse
328855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/26/2018
Last updated
04/03/2020
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