Provider Demographics
NPI:1104130087
Name:RODRIGUEZ, HECTOR LIBRADO (FNP-BC)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:LIBRADO
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14470 HORIZON BLVD STE H
Mailing Address - Street 2:ATTN: JUDITH COSME
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-7696
Mailing Address - Country:US
Mailing Address - Phone:915-217-2117
Mailing Address - Fax:915-217-1105
Practice Address - Street 1:14470 HORIZON BLVD STE H
Practice Address - Street 2:ATTN: JUDITH COSME
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928-7696
Practice Address - Country:US
Practice Address - Phone:915-217-2117
Practice Address - Fax:915-217-1105
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX685937363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily