Rodriguez, Roxanne

Rodriguez, Roxanne is an individual health care provider with primary practice located at 12602 Toepperwein Rd Suite 100, Live Oak TX 78233-3269. 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, Roxanne can be contacted via phone (210) 654-0030.

Contact Information

Primary practice address
12602 Toepperwein Rd Suite 100 Live Oak TX 78233-3269
Fax: (855) 278-4550
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05692 Texas

Profile Details

NPI number 1093989352
LBN Legal business name Rodriguez, Roxanne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Dec 13th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093989352 NPPES
Texas MEDICAID 320253302
Texas Other 8439NM

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