Jennings, Ruston Ladd
Jennings, Ruston Ladd is an individual health care provider with primary practice located at 1318 Paluxy Rd , Granbury TX 76048-5655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jennings, Ruston Ladd can be contacted via phone (817) 573-8805.Contact Information
Primary practice address
1318 Paluxy Rd
Granbury TX 76048-5655
Phone: (817) 573-8805
Fax: (817) 279-9515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K3593 | Texas |
Profile Details
| NPI number | 1972532323 |
|---|---|
| LBN Legal business name | Jennings, Ruston Ladd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Sep 11th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972532323 | NPPES |
| Texas | MEDICAID | 031455102 |
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