Individual
RODERICK TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
423 MASON PARK BLVD STE C, KATY, TX 77450-6227
(281) 944-5951
(832) 565-1413
Mailing address
3880 GREENHOUSE RD STE 406, HOUSTON, TX 77084-3486
(281) 944-5951
(832) 565-1413
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
06/11/2019
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