Rutledge, Peter L

Rutledge, Peter L is an individual health care provider with primary practice located at 6100 Harris Pkwy Suite 270, Fort Worth TX 76132-4101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rutledge, Peter L can be contacted via phone (817) 433-5978.

Contact Information

Primary practice address
6100 Harris Pkwy Suite 270 Fort Worth TX 76132-4101
Phone: (817) 433-5978
Fax: (817) 433-5980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G3749 Texas

Profile Details

NPI number 1578564704
LBN Legal business name Rutledge, Peter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Aug 31st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578564704 NPPES
Texas MEDICAID 033414601

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