Individual
RODOLFO ENRIQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA-C
Contact information
Practice address
1901 LONG PRAIRIE RD STE 220-80, FLOWER MOUND, TX 75022-4246
(214) 227-2457
(214) 764-0880
Mailing address
1901 LONG PRAIRIE RD STE 220-80, FLOWER MOUND, TX 75022-4246
(214) 227-2457
(214) 764-0888
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
OPAC990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPA-C990
NBCOPA
—
Enumeration date
02/06/2008
Last updated
09/11/2019
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