MEDICARE: MS. EVA RODRIGUEZ LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	63992	TX

General Provider Information

NPI Number	:	1174470546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EVA RODRIGUEZ LCSW

Provider Business Mailing Address
First Line	:	2227 RIGSBY AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78222-1012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1213 HERMANN DR STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7000
Country	:	US
Telephone Number	:	346-230-4212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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