Individual
SHELBY NICOLE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4400 S M L KING JR PKWY, BEAUMONT, TX 77705-5748
(409) 880-2359
Mailing address
1048 MISTY CLF, DICKINSON, TX 77539-8377
(832) 561-3352
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7646
TX
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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