Individual
DR. ALEXANDRIA ELIZABETH RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7780
(210) 375-7789
Mailing address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7780
(210) 375-7789
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M8967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195594003
—
TX
01
—
TXB112664
MEDICARE
TX
Enumeration date
08/09/2007
Last updated
05/12/2011
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