Provider Demographics
NPI:1043973332
Name:RODRIGUEZ, TANYA MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:MARIE
Last Name:RODRIGUEZ
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2121 E GRIFFIN PKWY STE 6
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3072
Mailing Address - Country:US
Mailing Address - Phone:956-583-2300
Mailing Address - Fax:956-622-5681
Practice Address - Street 1:2121 E GRIFFIN PKWY STE 6
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3072
Practice Address - Country:US
Practice Address - Phone:956-583-2300
Practice Address - Fax:956-622-5681
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2025-06-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant