Nichole Rodriguez, PA
Physician Assistant in Del Rio, TX. Individual provider (NPI-1).
NPI number1790760486
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1790760486
- Entity type
- Individual (NPI-1)
- Name
- Nichole Rodriguez
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2005
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA03627 | TX | Yes |
Practice location
1011 E 7th StDel Rio, TX 78840-4162
Phone 830-775-8513 · Fax 830-774-1430
Mailing address
300 Silver Sage DrDel Rio, TX 78840-2150
Phone 830-719-3271
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All 17 Physician Assistant providers in Del Rio · All 445 providers in Del Rio
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