Individual
DR. VAL M. RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 UNIVERSITY HOSPITAL CLINICS, 301 UNIVERSITY BOULEVARD DEPT RADIOLOGY, 2., GALVESTON, TX 77555-0709
(409) 747-0100
Mailing address
103 UNIVERSITY HOSPITAL CLINICS, 301 UNIVERSITY BOULEVARD DEPT RADIOLOGY, 2., GALVESTON, TX 77555-0709
(409) 747-0100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L3108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1474975-01
—
TX
01
—
1474975-02
CSHCN
TX
01
—
300126924
RR/MEDICARE
TX
01
—
8B5539
BLUE SHIELD
TX
Enumeration date
03/28/2006
Last updated
08/30/2010
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