Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Wise Rodriguez, PA

Individual provider Physician Assistant · NPI 1407831100

Andrea Wise Rodriguez, PA is a Physician Assistant in Grapevine, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1600 W Northwest Hwy Ste 900
Grapevine, TX 76051-8112
Phone: (817) 347-2530
Fax: (817) 488-5096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA04257 (TX)

Record details

NPI number1407831100
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

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