Healthcare Provider Details

I. General information

NPI: 1841365269
Provider Name (Legal Business Name): ADAM A RODRIGUEZ D.C., NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 ACACIA LN
MELISSA TX
75454-2614
US

IV. Provider business mailing address

2809 ACACIA LN
MELISSA TX
75454-2614
US

V. Phone/Fax

Practice location:
  • Phone: 972-658-0953
  • Fax:
Mailing address:
  • Phone: 972-658-0953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6757
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP132710
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: