Provider Demographics
NPI:1518280106
Name:RODRIGUEZ, ADRIANA N (LAT)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:N
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7584 CHEVY CHASE DR
Mailing Address - Street 2:APT 201
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1590
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7584 CHEVY CHASE DR
Practice Address - Street 2:APT 201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1590
Practice Address - Country:US
Practice Address - Phone:956-237-0970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT46422255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer