Individual provider · Type 1 NPI

Klade Dane Rodriguez

Student in an Organized Health Care Education/Training Program · College Station, TX

NPI number 1740647486 Active

Practice location

200 Marion Pugh Dr Apt 104
College Station, TX 77840-2702

Call (254) 316-8275 Map

Mailing address

P.o. Box 22
Satin, TX 76685

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X36849484 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740647486

Klade Dane Rodriguez's National Provider Identifier is 1740647486, issued on Jan 26, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in College Station, TX. The record was last updated on Jan 26, 2016.