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Organization
ORANGE MEDICAL SURGICAL ASSOC LLP
Active
Organization
ORANGE MEDICAL SURGICAL ASSOC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MARTIN RUTLEDGE JR. M.D. (C.O.O.)
(409) 883-3201
Entity
Organization
Contact information
Practice address
610 STRICKLAND DR, SUITE 290C, ORANGE, TX 77630-4786
(409) 883-9111
Mailing address
610 STRICKLAND, SUITE 200-C, ORANGE, TX 77630-4790
(409) 883-3201
(409) 883-3220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033BM
BLUE CROSS BLUE SHEILD
TX
05
—
080394201
—
TX
Enumeration date
09/06/2006
Last updated
03/03/2009
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