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1407831100
ANDREA WISE RODRIGUEZ
GRAPEVINE, TX
NPI
1407831100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04257)
Enumeration Date
2005-12-14
Last Update Date
2021-04-27
Business Address
ANDREA WISE RODRIGUEZ PA
1600 W NORTHWEST HWY STE 900
GRAPEVINE, TX 76051-8112
Phone number: 817-347-2530
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Mailing Address
ANDREA WISE RODRIGUEZ PA
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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