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Mr. Klade Dane Rodriguez
Student in an Organized Health Care Education/Training Program in College Station, Texas
NPI 1740647486

Klade Dane Rodriguez is a Student in an Organized Health Care Education/Training Program based in Satin, TX. Klade Dane Rodriguez practices in College Station, TX. The NPI Number for Klade Dane Rodriguez is 1740647486 and holds a License No. 36849484 (Texas).

The current practice location address for Klade Dane Rodriguez is 200 Marion Pugh Dr Apt 104, College Station, TX and can be reached out via phone at 254-316-8275.

Location: 200 Marion Pugh Dr Apt 104, College Station, TX, 76685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740647486
Provider Name
Klade Dane Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 Marion Pugh Dr Apt 104, College Station, TX, 76685
Phone Number
254-316-8275
Fax Number
Provider Enumeration Date
01/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Marion Pugh Dr Apt 104
City
College Station
State
Texas
Zip
77840-2702
Phone Number
254-316-8275
Fax Number
person
Provider Business Mailing Address Details
Address
200 Marion Pugh Dr Apt 104
City
College Station
State
Texas
Zip
77840-2702
Phone Number
254-316-8275
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
36849484 (Texas)
Definition
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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