Individual
BRANDON RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 W 15TH ST, MILES, TX 76861-6975
(325) 245-5672
Mailing address
105 W 15TH ST, MILES, TX 76861-6975
(325) 245-5672
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
43029571
TX
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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