Provider Demographics
NPI:1083282131
Name:RODRIGUEZ, ISAIAS
Entity Type:Individual
Prefix:
First Name:ISAIAS
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E DOVE AVE STE E
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2263
Mailing Address - Country:US
Mailing Address - Phone:956-618-1242
Mailing Address - Fax:956-618-1360
Practice Address - Street 1:800 E DOVE AVE STE E
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2263
Practice Address - Country:US
Practice Address - Phone:956-618-1242
Practice Address - Fax:956-618-1360
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX368262355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant