Individual
RODNEY LYNN CARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4085 DE ZAVALA RD, SUITE 200, SHAVANO PARK, TX 78249-2084
(210) 558-6288
(210) 558-6289
Mailing address
PO BOX 65060, SAN ANTONIO, TX 78265-5060
(210) 558-6288
(210) 558-6289
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
F6511
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173004601
—
TX
01
—
F6511
TX MEDICAL LICENSE
TX
Enumeration date
09/21/2005
Last updated
06/11/2016
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