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
Phone: (210) 654-0030
Fax: (855) 278-4550
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093989352 | NPPES |
| Texas | MEDICAID | 320253302 | |
| Texas | Other | 8439NM |
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