Doctor Name: | ROLANDO RODRIGUEZ |
NPI Number: | 1194042572 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., CCC/SLP |
License Number: | 104994 |
Business Practice Address: | 2101 E Griffin Pkwy Mission, TX - 785723228 |
Business Phone Number: | 9564243733 |
Business Fax Number: | 9564243734 |
Mailing Address: | 1500 Royola St, MISSION |
State: | TX |
Postal Code: | 785724787 |
Phone Number: | 9562401551 |
Fax Number: | 9564243734 |
NPI Enumeration Date: | 04/26/2010 |
NPI Last Update Date: | 04/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 104994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |