Individual
RODOLFO ENRIQUEZ JR.
Active
Individual
RODOLFO ENRIQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00886
TX
363AS0400X
Surgical Physician Assistant
Primary
OPAC990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPA-C990
NBCOPA
—
01
—
SA00886
TEXAS MEDICAL BOARD
TX
Enumeration date
02/06/2008
Last updated
05/22/2026
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