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Individual

DR. MALCOLM J RUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
2809 EARL RUDDERY FWY S, STE 101, COLLEGE STATION, TX 77845-6080
(979) 776-8825
(979) 776-2655
Mailing address
2809 EARL RUDDERY FWY S, STE 101, COLLEGE STATION, TX 77845-6080
(979) 776-8825
(979) 776-2655

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
K9893
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0046LN
BCBS
TX
05
166208201
TX
Enumeration date
06/20/2005
Last updated
04/23/2024
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