Individual provider · Type 1 NPI

Ty Dan Rodriguez, LVN

Licensed Vocational Nurse · Odessa, TX

NPI number 1962902791 Active

Practice location

11049 W Hoffman Dr
Odessa, TX 79764-9043

Call (432) 530-0970 Map

Fax (432) 530-0970

Mailing address

3140 Adams Ave
Odessa, TX 79762-7638

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	187240 (TX)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1962902791

Ty Dan Rodriguez, LVN's National Provider Identifier is 1962902791, issued on Feb 19, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Odessa, TX. The record was last updated on Feb 19, 2018.