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Individual
RODNEY O. HALTOM
Active
Individual
RODNEY O. HALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181459201
—
TX
01
—
8N8281
BCBS (MDACC)
TX
01
—
P00200261
RR MEDICARE (MDACC)
TX
Enumeration date
01/23/2007
Last updated
04/14/2011
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