Provider Demographics
NPI:1457598674
Name:RODRIGUEZ, ERIK ALAN (SLP)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:ALAN
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 E YUCCA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2366
Mailing Address - Country:US
Mailing Address - Phone:956-802-1807
Mailing Address - Fax:
Practice Address - Street 1:517 E YUCCA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2366
Practice Address - Country:US
Practice Address - Phone:956-802-1807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104752235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist