Tyler Rodriguez, LVN | |
10814 Stone Canyon Rd Apt 1157, Dallas, TX 75230-4360 | |
(254) 718-1742 | |
Not Available |
Full Name | Tyler Rodriguez |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 10814 Stone Canyon Rd Apt 1157, Dallas, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083224026 | NPI | - | NPPES |
336358 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 336358 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tyler Rodriguez, LVN 10814 Stone Canyon Rd Apt 1157, Dallas, TX 75230-4360 Ph: (254) 718-1742 | Tyler Rodriguez, LVN 10814 Stone Canyon Rd Apt 1157, Dallas, TX 75230-4360 Ph: (254) 718-1742 |
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