Provider Demographics
NPI:1720438104
Name:MESQUIAS, RODNEY YSA (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:YSA
Last Name:MESQUIAS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26007 AVELLINO BLF
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2580
Mailing Address - Country:US
Mailing Address - Phone:512-805-5650
Mailing Address - Fax:512-392-4718
Practice Address - Street 1:6018 WEST AVE
Practice Address - Street 2:STE 2
Practice Address - City:CASTLE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78213
Practice Address - Country:US
Practice Address - Phone:210-860-0129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131165363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP131165OtherNURSE PRACTITIONER - FAMILY NURSE PRACTITIONER
TX813910OtherRN