Individual
JASON RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
1200 W CONNALLY ST, TYLER, TX 75701-1312
(903) 944-0803
Mailing address
1200 W CONNALLY ST, TYLER, TX 75701-1312
(903) 944-0803
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
12917
TX
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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