Eric Rodriguez, OTR

Individual provider Active NPI Pediatric Occupational Therapist · Palmhurst, TX

NPI 1780135202 · NPPES record last updated Oct 19, 2016

Key facts

NPI
1780135202
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
116544 (TX)
Practice address
123 W Mile 3 Rd
Suite a-103
Palmhurst, TX 78573-1633
Phone
(956) 585-9889
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
116544TXMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 116544 TX Yes

Addresses

Primary practice location

123 W Mile 3 Rd
Suite a-103
Palmhurst, TX 78573-1633

Mailing address

13502 N 37TH LN
Edinburg, TX 78541-4465
Phone (956) 212-4312

Other providers in Palmhurst, TX

All providers in Palmhurst, TX · Pediatric Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.