Individual
AMY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2102 W TEEGE AVE, HARLINGEN, TX 78550-4667
(956) 412-3337
Mailing address
2102 W TEEGE AVE, HARLINGEN, TX 78550-4667
(956) 412-3337
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1031564
TX
164X00000X
Licensed Vocational Nurse
338941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/20/2018
Last updated
03/30/2021
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