Individual
DR. LORRAINE RUDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
307 E OVILLA RD, SUITE 600, RED OAK, TX 75154-3898
(972) 576-2920
(972) 617-3930
Mailing address
6119 GREENVILLE AVE # 433, DALLAS, TX 75206-1910
(972) 576-2920
(972) 617-3930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J4489
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J4489
TX
Other
Enumeration date
01/11/2007
Last updated
10/09/2013
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