Individual
IDELFONSO RAMOS RODRIGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
4503 CORNUDO RDG, SAN ANTONIO, TX 78251-4962
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
20-0672
TX
Other
Enumeration date
01/29/2021
Last updated
01/18/2022
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