Provider Demographics
NPI:1972524353
Name:MURRAY, RODNEY L (LAT)
Entity type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:L
Last Name:MURRAY
Suffix:
Gender:M
Credentials:LAT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1565 N BUSINESS IH 35 APT 131
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3243
Mailing Address - Country:US
Mailing Address - Phone:830-608-1256
Mailing Address - Fax:830-885-1089
Practice Address - Street 1:14001 STATE HIGHWAY 46 W
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-7053
Practice Address - Country:US
Practice Address - Phone:830-885-1041
Practice Address - Fax:830-885-1089
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT21672255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer