MEDICARE: ADRIANA HEALTHCARE PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	363LF0000X	Family Nurse Practitioner
3	208D00000X	General Practice Physician
4	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407396625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADRIANA HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	11160 FONDREN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5506
Country	:	US
Telephone Number	:	832-530-4444
Fax Number	:	832-530-4396

Provider Business Practice Location Address
First Line	:	11160 FONDREN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5506
Country	:	US
Telephone Number	:	832-530-4444
Fax Number	:	832-530-4396

Authorized Official
Title or Position	:	CRED ADMIN
Name	:	SANDRA RODRIGUEZ
Credential	:
Telephone Number	:	832-683-4132

Provider Enumeration Date	:	03/07/2017
Last Update Date	:	10/10/2025

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