Individual
BRANDON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 MOUNTRIDGE DR, SAN ANTONIO, TX 78228-1716
(210) 825-5121
Mailing address
8610 N NEW BRAUNFELS AVE STE 405, SAN ANTONIO, TX 78217-6358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
932553
TX
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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