Individual
DR. PETER L RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6100 HARRIS PKWY, SUITE 270, FORT WORTH, TX 76132-4101
(817) 433-5978
(817) 433-5980
Mailing address
6100 HARRIS PKWY, SUITE 270, FORT WORTH, TX 76132-4101
(817) 433-5978
(817) 433-5980
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G3749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033414601
—
TX
Enumeration date
08/10/2005
Last updated
08/31/2011
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