Provider Demographics
NPI:1144484841
Name:RODRIGUEZ, AMBER RENEE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:AMBER
Middle Name:RENEE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:6828 SPRINGFIELD AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2286
Mailing Address - Country:US
Mailing Address - Phone:956-726-4060
Mailing Address - Fax:956-726-8953
Practice Address - Street 1:6828 SPRINGFIELD AVE
Practice Address - Street 2:STE 1
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2286
Practice Address - Country:US
Practice Address - Phone:956-726-4060
Practice Address - Fax:956-726-8953
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2012-12-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant