# CRYSTAL CITY ISD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093188690
- **Authorized official:** MR. ANDRES RODRIGUEZ JR. LAT (ATHLETIC TRAINER)
- **Authorized official phone:** (830) 374-2341

## Contact information

- **Practice address:** 805 E CROCKETT ST, CRYSTAL CITY, TX 78839-2711
- **Practice address phone:** (830) 374-2341
- **Mailing address:** 805 E CROCKETT ST, CRYSTAL CITY, TX 78839-2711
- **Mailing address phone:** (830) 374-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | AT5507 | TX | Yes |

## Other

- **Enumeration date:** 11/04/2015
- **Last updated:** 11/04/2015