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Organization
RODNEY S. CARLSON
Active
Organization
RODNEY S. CARLSON
Active
Other names
LIFE HCS PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY SHANE CARLSON (OWNER PROGRAM DIRECTOR)
(956) 683-9166
Entity
Organization
Contact information
Practice address
1521 TRENTON RD, MCALLEN, TX 78504-3146
(956) 631-4466
(956) 631-4476
Mailing address
2017 ORIOLE AVE, MCALLEN, TX 78504-3861
(956) 683-9166
(956) 631-4476
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
07/30/2007
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