Provider Demographics
NPI:1659544005
Name:RODRIGUEZ, ESPERANZA (LVN)
Entity Type:Individual
Prefix:
First Name:ESPERANZA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 PASCHALL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-8445
Mailing Address - Country:US
Mailing Address - Phone:713-732-6784
Mailing Address - Fax:713-228-3719
Practice Address - Street 1:1111 PASCHALL ST
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-8445
Practice Address - Country:US
Practice Address - Phone:713-732-6784
Practice Address - Fax:713-228-3719
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175106164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse