Individual
CHARLES S. RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, STE. C-300G, DALLAS, TX 75230-2571
(972) 566-5564
(972) 566-3556
Mailing address
7777 FOREST LN, STE. C-300G, DALLAS, TX 75230-2571
(972) 566-5564
(972) 566-3556
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F7125
TX
207XS0106X
Orthopaedic Hand Surgery Physician
F7125
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
F7125
TX
207XX0801X
Orthopaedic Trauma Physician
F7125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123776005
—
TX
01
—
8A5013
BCBS
TX
Enumeration date
10/28/2005
Last updated
10/16/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us