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NPI Code Detail

MEDICARE: MRS. AMANDA RODRIGUEZ PA-C

MEDICARE:  MRS. AMANDA  RODRIGUEZ  PA-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
1363AM0700XMedical Physician AssistantPA08667TX

General Provider Information

NPI Number : 1477983674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA RODRIGUEZ PA-C
Provider Business Mailing Address
First Line : 1251 LONG GATE
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-3779
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1251 LONG GATE
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-3779
Country : US
Telephone Number : 830-221-6766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2013
Last Update Date : 01/08/2026

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Directions to “ MRS. AMANDA RODRIGUEZ PA-C” Practice Location

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