Most Relevant Information
Provider Data
| NPI Number: | 1003544701 |
| Provider Name: | KIMBERLY SUE RODRIQUEZ SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 100689 |
Most Important Dates
| Enumeration Date: | 08/10/2022 |
| Last Updated: | 08/10/2022 |
Provider Practice Location
1296 MOSSY HOLW
SPRING BRANCH
TX
780706064
Practice Location Phone/Fax
| Phone: | 2104795875 |
| Fax: |
Provider Mailing Location
1296 MOSSY HOLW
SPRING BRANCH
TX
780706064
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |