Provider Demographics
NPI:1043973332
Name:RODRIGUEZ, TANYA MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:MARIE
Last Name:RODRIGUEZ
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4674 MCDERMOTT RD STE 308
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7797
Mailing Address - Country:US
Mailing Address - Phone:972-382-4466
Mailing Address - Fax:972-382-4477
Practice Address - Street 1:4674 MCDERMOTT RD STE 308
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7797
Practice Address - Country:US
Practice Address - Phone:972-382-4466
Practice Address - Fax:972-382-4477
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2023-09-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant