Individual
AVI RUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD # E4.300, DALLAS, TX 75390-8579
(214) 648-3916
Mailing address
5323 HARRY HINES BLVD # E4.300, DALLAS, TX 75390-8579
(214) 648-3916
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2018005683
MO
207P00000X
Emergency Medicine Physician
Primary
S5056
TX
Other
Enumeration date
04/18/2014
Last updated
06/24/2020
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