Individual
DAVID M RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7201 HAWKINS VIEW DR STE 151, FORT WORTH, TX 76132-3934
(817) 263-7200
(817) 377-6558
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 263-3702
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2316
WI
208600000X
Surgery Physician
J8751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020054589
RAILROAD MEDICARE
—
05
—
155123601
—
TX
Enumeration date
07/17/2006
Last updated
01/12/2023
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