North Texas Electrodiagnostics and Rehabilitation PA

NPI #1801072293 in Red Oak, Texas

Provider Information

NPI Number: 1801072293
Entity Type: Organization
Organization Name: North Texas Electrodiagnostics and Rehabilitation PA
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Jan 15, 2008
Last Updated: Jan 15, 2008

Practice Location

Address: 307 E OVILLA RD
Address 2: SUITE 600
City: Red Oak
State: Texas
ZIP Code: 75154-3833
Phone: (972) 576-2920

Authorized Official

Name: LORRAINE RUDDER, MD
Title: MEDICAL PROVIDER
Phone: (972) 576-2920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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