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

Marivel Rodriguez, PA

Individual provider Physician Assistant · NPI 1649474198

Marivel Rodriguez, PA is a Physician Assistant in Fort Worth, Texas. Qualified in 2003, 23 years ago. Practices with Acclaim Physician Group Inc, a 523-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
23
Licensed in
TX
In the registry since
2007
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

1400 S Main St Fl 1
Fort Worth, TX 76104-4909
Phone: (817) 702-6926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 209 Old Highway 1187, Burleson, TX 76028-0281 — (817) 338-1300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA03757 (TX)

Record details

NPI number1649474198
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022
Mailing address1900 Mistletoe Blvd Ste 100, Fort Worth, TX 76104-4048

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Acclaim Physician Group Inc — 523 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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