Organization
RICHARD N RUDNICKI D.O.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD N RUDNICKI D.O. (CEO)
(972) 289-2233
Entity
Organization
Contact information
Practice address
2856 N GALLOWAY AVE, MESQUITE, TX 75150-4861
(972) 289-2233
Mailing address
2856 N GALLOWAY AVE, MESQUITE, TX 75150-4861
(972) 289-2233
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J2769
TX
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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