Individual
BRIAN RAY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 ROSS ST STE C.600-C, SAN BENITO, TX 78586-4421
(956) 361-6000
Mailing address
1145 ROSS ST STE C.600-C, SAN BENITO, TX 78586-4421
(956) 361-6000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114917
TX
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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