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Individual
WAYNE C RUTLEDGE JR.
Active
Individual
WAYNE C RUTLEDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M1328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151601501
—
TX
01
—
1629165279
TRICARE SOUTH
TX
01
—
8BE067
BCBSTX
TX
01
—
P00690098
RAILROAD MEDICARE
TX
Enumeration date
10/06/2006
Last updated
11/16/2015
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