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General NPI Number Information
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NPI Number | 1225746274
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Entity Type | Individual
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Provider Name | YESSICA GARCIA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY STE 1210
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City | HOUSTON
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State | TX
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Zip | 77002-8236
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Country | US
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Telephone | 713-393-7744
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Fax | 713-393-7988
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Provider Business Mailing Address
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Address Line | 2630 BISSONNET ST APT 1147
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City | HOUSTON
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State | TX
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Zip | 77005-1581
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1017158
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1017158
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License Number State | TX
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