Andrea Wise Rodriguez, PA

NPI #1407831100 in Grapevine, Texas

Provider Information

NPI Number: 1407831100
Entity Type: Individual
Name: Andrea Wise Rodriguez, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 14, 2005
Last Updated: Apr 27, 2021

Practice Location

Address: 1600 W NORTHWEST HWY
Address 2: STE 900
City: Grapevine
State: Texas
ZIP Code: 76051-8112
Phone: (817) 347-2530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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