MEDICARE: ROSEMARY RODRIGUEZ MS, RD, LD

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1336847540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARY RODRIGUEZ MS, RD, LD

Provider Business Mailing Address
First Line	:	204 VICTORIAN DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76134-4616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 W 6TH ST STE 400
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76102-2849
Country	:	US
Telephone Number	:	682-244-2729
Fax Number	:

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

Provider Enumeration Date	:	02/16/2023
Last Update Date	:	07/09/2025

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