ANDREA WISE RODRIGUEZ

GRAPEVINE, TX
NPI1407831100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA04257)
Enumeration Date2005-12-14
Last Update Date2021-04-27
Business Address
ANDREA WISE RODRIGUEZ PA
1600 W NORTHWEST HWY STE 900
GRAPEVINE, TX 76051-8112
Phone number: 817-347-2530
Mailing Address
ANDREA WISE RODRIGUEZ PA
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855