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Individual

ISRAEL RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390
(214) 645-8250
Mailing address
5602 MAPLE AVE APT 2100, DALLAS, TX 75235-7486

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16405
TX

Other

Enumeration date
07/10/2022
Last updated
02/20/2023
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