Individual
MARK RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1880 WILLIAMS RD, SALADO, TX 76571-6263
(254) 947-6990
Mailing address
1811 RALLY LN, HARKER HEIGHTS, TX 76548-6032
(830) 992-9770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6643
TX
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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