Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 34 001410 | OH |
Y | 207QA0505X | Family Doctor - Adult Medicine | E 3428 | TX |
NPI | 1013268689 |
---|---|
Provider Name | Dr. Henry Eugene Ruehle |
First Address | Houston, TX 77084-3947 |
Second Address | Houston, TX 77084-3947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2012 |
Last Update Date | 24/09/2012 |