Provider Demographics
NPI:1679179725
Name:RODRIGUEZ, SARAH SYDOW (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:SYDOW
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:LA FERIA
Mailing Address - State:TX
Mailing Address - Zip Code:78559-0132
Mailing Address - Country:US
Mailing Address - Phone:956-245-5054
Mailing Address - Fax:
Practice Address - Street 1:25617 N PARKER RD
Practice Address - Street 2:
Practice Address - City:LA FERIA
Practice Address - State:TX
Practice Address - Zip Code:78559-4480
Practice Address - Country:US
Practice Address - Phone:956-245-5054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1020806363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily