Organization
NCHR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL RODRIGUEZ (ADMINISTRATOR)
(210) 370-7232
Entity
Organization
Contact information
Practice address
14439 NW MILITARY HWY STE 449, SHAVANO PARK, TX 78231-1646
(210) 370-7232
Mailing address
14439 NW MILITARY HWY STE 449, SHAVANO PARK, TX 78231-1646
(210) 370-7232
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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