Rudis, John Anthony
Rudis, John Anthony is an sole proprietor health care provider with primary practice located at 206 Gene Samford Dr Suite A, Lufkin TX 75904-3374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rudis, John Anthony can be contacted via phone (936) 637-7667.Contact Information
Primary practice address
206 Gene Samford Dr Suite A
Lufkin TX 75904-3374
Phone: (936) 637-7667
Fax: (936) 637-2363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H2745 | Texas |
Profile Details
| NPI number | 1346221173 |
|---|---|
| LBN Legal business name | Rudis, John Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jul 1st, 2010 - about 15 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 | 1346221173 | NPPES |
| Texas | MEDICAID | 120513003 | |
| Texas | MEDICAID | 120513004 |
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