Individual
MR. MICHAEL ROBERT RUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
2507 LAKE RD # 2, HUNTSVILLE, TX 77340-5735
(936) 291-3219
(936) 291-7206
Mailing address
18335 DOGWOOD DR, CONROE, TX 77303-3217
(936) 291-3219
(936) 291-7206
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00723
TX
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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