Rodriguez, Marissa
Rodriguez, Marissa is an sole proprietor health care provider with primary practice located at 2901 Montopolis Dr , Austin TX 78741-6411. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Rodriguez, Marissa can be contacted via phone (512) 978-9449.Contact Information
Primary practice address
2901 Montopolis Dr
Austin TX 78741-6411
Phone: (512) 978-9449
Fax: (512) 901-9749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DT07407 | Texas |
Profile Details
| NPI number | 1134277908 |
|---|---|
| LBN Legal business name | Rodriguez, Marissa |
| Credentials | R.D., L.D., C.D.E. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Dec 6th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134277908 | NPPES |
| Texas | MEDICAID | 1819690 |
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