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Sunrise Total Mind Wellness Referrals

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Referred by

  • Referring physician: David Cruz
  • Referring physician contact number: 9567229955
  • Practice name: David H. Cruz
  • Practice contact name: Odalys Romero
  • Practice phone number: 9567229955
  • Practice fax number: 9564138820

Patient information

  • Preferred name: Denise Rodriguez
  • DOB: June 26, 1994
  • Sex: Female
  • Race: White
  • Preferred language: English
  • Marital status: Single
  • Contact number: 9564777551
  • Email address: denisrdz94@gmail.com
  • Address: 7550 Country Club Dr
    Laredo, Texas 78041
  • Reason for visit:

    Bipolar

Insurance information

  • Insurance policy holder’s name: Denise Rodriguez
  • Insurance policy holder’s DOB: June 26, 1994
  • Primary insurance ID: 39166071
  • Primary insurance Group: 76416383
  • Secondary insurance ID:
  • Secondary insurance Group: