Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | F5732 | TX |
Y | 207RX0202X | Medical Oncology | F5732 | TX |
NPI | 1124089412 |
---|---|
Provider Name | Dr. Christopher Owen Ruud |
First Address | Dallas, TX 75391-1230 |
Second Address | Austin, TX 78705-1165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 18/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1378614-14 | CSHCN (01) | TX |
137861417 | (05) | TX |
137861420 | (05) | TX |
137861421 | (05) | TX |
830008565 | RR/MEDICARE (01) | TX |
8G5397 | BLUE SHIELD (01) | TX |
C21400 | (02) | TX |
P01279580 | RAILROAD MEDICARE (01) | TX |
PO1279577 | RAILROAD MEDICARE (01) | TX |