Individual
BRENDA H. RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6750 N MACARTHUR BLVD, BLDG. 2, SUITE 350, IRVING, TX 75039-2875
(972) 556-1616
(972) 556-1740
Mailing address
9003 AIRPORT FWY, SUITE 300, NORTH RICHLAND HILLS, TX 76180-7770
(817) 514-5200
(817) 514-5210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
03119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03119
TEXAS PA LICENSE
TX
01
—
87N360
MEDICARE
TX
Enumeration date
09/14/2007
Last updated
06/01/2010
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