Provider Demographics
NPI:1629695457
Name:RODRIGUEZ, TELMA EUNICE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:TELMA
Middle Name:EUNICE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:15615 ROSCOBIE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4916
Mailing Address - Country:US
Mailing Address - Phone:832-434-6621
Mailing Address - Fax:
Practice Address - Street 1:4401 GARTH RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2122
Practice Address - Country:US
Practice Address - Phone:832-556-6350
Practice Address - Fax:713-799-9598
Is Sole Proprietor?:No
Enumeration Date:2020-06-27
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP146184363LF0000X, 363LA2200X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist