Provider Demographics
NPI:1891354221
Name:RODRIGUEZ, PATRICIA LIZETTE
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LIZETTE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7306 WINDING STAR DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-5713
Mailing Address - Country:US
Mailing Address - Phone:832-992-1120
Mailing Address - Fax:
Practice Address - Street 1:7306 WINDING STAR DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-5713
Practice Address - Country:US
Practice Address - Phone:832-992-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX968125163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse