Individual
MS. TANIS MAY RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13207 WRIGHT RD, BUDA, TX 78610-5000
(512) 697-8500
Mailing address
4201 S CONGRESS AVE, AUSTIN, TX 78745-1198
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
670916
TX
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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