Rude, Malcolm J

Rude, Malcolm J is an individual health care provider with primary practice located at 2809 Earl Ruddery Fwy S Ste 101, College Station TX 77845-6080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Rude, Malcolm J can be contacted via phone (979) 776-8825.

Contact Information

Primary practice address
2809 Earl Ruddery Fwy S Ste 101 College Station TX 77845-6080
Phone: (979) 776-8825
Fax: (979) 776-2655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X K9893 Texas

Profile Details

NPI number 1306841994
LBN Legal business name Rude, Malcolm J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Apr 23rd, 2024 - about 7 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306841994 NPPES
Texas MEDICAID 166208201
Texas Other 0046LN

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