Timothy Rudolph MD PA

NPI #1932768264 in Hamilton, Texas

Provider Information

NPI Number: 1932768264
Entity Type: Organization
Organization Name: Timothy Rudolph MD PA
Primary Specialty: Family Medicine
Enumeration Date: Jun 11, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 400 N BROWN ST
City: Hamilton
State: Texas
ZIP Code: 76531-1518
Phone: (254) 386-1600

Authorized Official

Name: BRENDA L HARDIN
Title: OFC CEO
Phone: (254) 223-0950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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