Organization
NORTH TEXAS ELECTRODIAGNOSTICS AND REHABILITATION PA
Active
Other names
DEFINITIVE REHABILITATION AND PAIN MANAGEMENT
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE RUDDER MD (MEDICAL PROVIDER)
(972) 576-2920
Entity
Organization
Contact information
Practice address
307 E OVILLA RD, SUITE 600, RED OAK, TX 75154-3833
(972) 576-2920
(972) 617-3930
Mailing address
307 E OVILLA RD, SUITE 600, RED OAK, TX 75154-3833
(972) 576-2920
(972) 617-3930
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
J4489
TX
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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