| NPI Details | |
|---|---|
| NPI | 1023008778 |
| Gender | Male |
| Enumeration Date | 10/25/2005 |
| Last Updated | 01/03/2008 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 7030 BRETSHIRE DR HOUSTON TX, 77016-3704, US |
|
| Phone | (713) 633-2100 |
| Fax | (713) 633-2103 |
| Business Location | |
|---|---|
| 7030 BRETSHIRE DR HOUSTON TX, 77016-3704, US |
|
| Phone | (713) 633-2100 |
| Fax | (713) 633-2103 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | Texas |
| License Number | D-7470 |
| Remove 1023008778 NPI Number | |
According to our database, Charles William Rudd DO NPI is 1023008778, taxonomy code is 207Q00000X and license number is D-7470, license state is located at Texas. Charles William Rudd DO physically located at 7030 Bretshire Dr, Houston TX, 77016-3704. NPI Number Charles William Rudd DO has the Individual type.
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1023008778 NPI number is provided on an as is basis without warranty of any kind. 1023008778 is maintained by the National Plan & Provider Enumeration System. The contents of Charles William Rudd DO are for informational purposes only.
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