Individual
DR. BRADLEY C RUE
Active
Individual
DR. BRADLEY C RUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145951303
—
TX
01
—
P00284032
RAILROAD MEDICARE
—
Enumeration date
03/14/2006
Last updated
11/22/2019
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