Marivel Rodriguez PA

NPI 1649474198 - Physician Assistant - 363A00000X

NPI Details
NPI 1649474198
Gender Female
Enumeration Date 06/11/2007
Last Updated 12/30/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
11807 SOUTH FWY
SUITE 365
BURLESON TX, 76028-7005, US
Phone (817) 338-1300
Fax
Business Location
1300 W ROSEDALE ST
FORT WORTH TX, 76104-2826, US
Phone (817) 338-1300
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA03757
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According to our database, Marivel Rodriguez PA NPI is 1649474198, taxonomy code is 363A00000X and license number is PA03757, license state is located at Texas. Marivel Rodriguez PA physically located at 11807 South Fwy, Burleson TX, 76028-7005. NPI Number Marivel Rodriguez PA has the Individual type.

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1649474198 NPI number is provided on an as is basis without warranty of any kind. 1649474198 is maintained by the National Plan & Provider Enumeration System. The contents of Marivel Rodriguez PA are for informational purposes only.