Individual
EDEL RODRIGUEZ ZUBIAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5927 GLADEWATER RIDGE LN, MANVEL, TX 77578-1663
(612) 380-2618
Mailing address
5927 GLADEWATER RIDGE LN, MANVEL, TX 77578-1663
(612) 380-2618
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
24-313
TX
246ZC0007X
Surgical Assistant
SA01016
TX
363A00000X
Physician Assistant
3085-P.A.
PR
363AS0400X
Surgical Physician Assistant
Primary
3085-P.A.
PR
Other
Enumeration date
09/14/2024
Last updated
05/15/2026
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