IndividualActive
Brandon Rodriguez
NPI 1053101204 · Athletic Trainer · Miles, TX
Provider details
- NPI number
- 1053101204
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 43029571 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
105 W 15th St
Miles, TX 76861-6975
Phone: (325) 245-5672
Approximate (ZIP-level) locationGet directions
Mailing address
105 W 15th St
Miles, TX 76861-6975
Registry dates
- Enumerated
- 2025-05-10
- Last updated
- 2025-05-10
- Certified
- 2025-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.