MEDICARE: MS. MICHELLE WYMORE RODRIGUEZ NP-C

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	363LF0000X	Family Nurse Practitioner	AP127509	TX

General Provider Information

NPI Number	:	1346623790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE WYMORE RODRIGUEZ NP-C

Provider Business Mailing Address
First Line	:	333 WEST LOOP N STE 250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1751
Country	:	US
Telephone Number	:	713-690-1991
Fax Number	:	281-297-6436

Provider Business Practice Location Address
First Line	:	7200 CAMBRIDGE ST FL 8
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4202
Country	:	US
Telephone Number	:	713-798-1000
Fax Number	:

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

Provider Enumeration Date	:	07/02/2015
Last Update Date	:	04/23/2026

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