Rodriguez, Andrea Wise

Rodriguez, Andrea Wise is an individual health care provider with primary practice located at 1600 W Northwest Hwy Ste 900, Grapevine TX 76051-8112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rodriguez, Andrea Wise can be contacted via phone (817) 347-2530.

Contact Information

Primary practice address
1600 W Northwest Hwy Ste 900 Grapevine TX 76051-8112
Phone: (817) 347-2530
Fax: (817) 488-5096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04257 Texas

Profile Details

NPI number 1407831100
LBN Legal business name Rodriguez, Andrea Wise
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Apr 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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