Organization
JACQUELINE R CARRUTHERS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE R. CARRUTHERS M.D. (OWNER)
(713) 694-6390
Entity
Organization
Contact information
Practice address
7929 NORTH SHEPHERD, HOUSTON, TX 77088-6346
(713) 694-6390
(713) 694-5331
Mailing address
PO BOX 38598, HOUSTON, TX 77238-8598
(713) 694-6390
(713) 694-5331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K7429
TX
Other
Enumeration date
11/26/2007
Last updated
03/12/2012
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