Individual
ISAAC RODGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6724 PALUXY DR STE 400, TYLER, TX 75703-6105
(903) 630-4310
Mailing address
3092 ROYAL GARDEN RD, TYLER, TX 75701-5864
(903) 279-2803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100313
TX
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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