Rodriguez, Chriselda Lynnette

Rodriguez, Chriselda Lynnette is an individual health care provider with primary practice located at 1901 Dutton Dr Ste D , San Marcos TX 78666-7574. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Rodriguez, Chriselda Lynnette can be contacted via phone (512) 558-2004.

Contact Information

Primary practice address
1901 Dutton Dr Ste D San Marcos TX 78666-7574
Phone: (512) 558-2004
Fax: (512) 396-4984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 34087 Texas

Profile Details

NPI number 1679725063
LBN Legal business name Rodriguez, Chriselda Lynnette
Credentials LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Oct 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679725063 NPPES
Texas Other 34087 LPA LICENSE

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