Provider Demographics
NPI:1558159939
Name:RODRIGUEZ, LAURA LOUISA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LOUISA
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 1:13102 THEA SMITH DR
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-5819
Mailing Address - Country:US
Mailing Address - Phone:915-549-0000
Mailing Address - Fax:
Practice Address - Street 1:13102 THEA SMITH DR
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928-5819
Practice Address - Country:US
Practice Address - Phone:915-549-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter