Rudnicki, Richard N

Rudnicki, Richard N is an sole proprietor health care provider with primary practice located at 3330 N Galloway Ave Ste 304 , Mesquite TX 75150-4767. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Rudnicki, Richard N can be contacted via phone (972) 289-2233.

Contact Information

Primary practice address
3330 N Galloway Ave Ste 304 Mesquite TX 75150-4767
Phone: (972) 289-2233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X J2769 Texas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X J2769 Texas

Profile Details

NPI number 1407919160
LBN Legal business name Rudnicki, Richard N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2006
Last updated Feb 14th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407919160 NPPES
Texas MEDICAID 0847576-01

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