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NPI Code Detail

MEDICARE: JAIMY RODRIGUEZ

MEDICARE:   JAIMY  RODRIGUEZ
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
1235Z00000XSpeech-Language Pathologist124715TX

General Provider Information

NPI Number : 1699255380
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIMY RODRIGUEZ
Provider Business Mailing Address
First Line : 1500 N MAIN ST STE 120
Second Line :
City : FORT WORTH
State : TX
Zip : 76164-8929
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N MAIN ST STE 120
Second Line :
City : FORT WORTH
State : TX
Zip : 76164-8929
Country : US
Telephone Number : 682-207-1612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 01/16/2026

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Directions to “ JAIMY RODRIGUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.