Individual
DR. KENNETH S. RUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR STE 600, SAN ANTONIO, TX 78229-5907
(210) 616-7700
(210) 616-7709
Mailing address
8401 DATAPOINT,, P. O. BOX 29441 SUITE 600, SAN ANTONIO, TX 78229-0441
(210) 616-7796
(210) 616-7799
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
F8655
TX
2085P0229X
Pediatric Radiology Physician
F8655
TX
2085R0202X
Diagnostic Radiology Physician
Primary
F8655
TX
2085U0001X
Diagnostic Ultrasound Physician
F8655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8L26891
MEDICARE - STRIC
TX
Enumeration date
12/22/2005
Last updated
07/26/2010
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