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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