Provider Demographics
NPI:1336591205
Name:RODRIGUEZ, LAURA SINCLAIR (FNP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:SINCLAIR
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8711 VILLAGE DR STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5419
Mailing Address - Country:US
Mailing Address - Phone:210-681-0126
Mailing Address - Fax:210-681-5228
Practice Address - Street 1:3903 WISEMAN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4402
Practice Address - Country:US
Practice Address - Phone:210-681-0126
Practice Address - Fax:210-681-5228
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131221363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily