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Individual

RODNEY G SHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, DC

Contact information

Practice address
1017 W HEBRON PKWY, CARROLLTON, TX 75010-1113
(972) 939-9495
(972) 939-0230
Mailing address
1017 W HEBRON PKWY, CARROLLTON, TX 75010-1113
(972) 939-9495
(972) 939-0230

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9687
TX
363AM0700X
Medical Physician Assistant
Primary
05867
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
606671
BLUECROSS BLUESHIELD
TX
Enumeration date
12/22/2005
Last updated
12/07/2011
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