Individual
MARK ALLEN RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712
(254) 202-2000
Mailing address
PO BOX 848491, DALLAS, TX 75284-4471
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP117948
TX
Other
Enumeration date
08/27/2009
Last updated
08/15/2019
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