MEDICARE: AMBER RODRIGUEZ FNP-BC

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	207Q00000X	Family Medicine Physician	945340	TX

General Provider Information

NPI Number	:	1306795695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER RODRIGUEZ FNP-BC

Provider Business Mailing Address
First Line	:	1612 HAYES ST
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76309-2140
Country	:	US
Telephone Number	:	940-235-2411
Fax Number	:

Provider Business Practice Location Address
First Line	:	1612 HAYES ST
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76309-2140
Country	:	US
Telephone Number	:	940-235-2411
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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