Fraidelys Faure Rodriguez, SA-C , IMG
Specialist/Technologist, Other, Surgical Assistant in Spring, TX. Individual provider (NPI-1).
NPI number1417459579
StatusActive
Last updated in NPPESMar 5, 2018
Details
- NPI
- 1417459579
- Entity type
- Individual (NPI-1)
- Name
- Fraidelys Faure Rodriguez
- Credential
- SA-C , IMG
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2018
- Last updated
- Mar 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 17-633 | TX | Yes |
Practice location
24115 Stargazer PtSpring, TX 77373-7899
Phone 281-662-6609
Mailing address
24115 Stargazer PtSpring, TX 77373-7899
Phone 281-662-6609
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