Most Relevant Information
Provider Data
| NPI Number: | 1003647546 |
| Provider Name: | ELIZABETH RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2024 |
| Last Updated: | 08/07/2024 |
Provider Practice Location
3302 GASTON AVE
DALLAS
TX
752462013
Practice Location Phone/Fax
| Phone: | 2148288215 |
| Fax: |
Provider Mailing Location
3302 GASTON AVE
DALLAS
TX
752462013
Provider Mailing Phone/Fax
| Phone: | 2148288215 |
| Fax: |