Healthcare Provider Details

I. General information

NPI: 1124089412
Provider Name (Legal Business Name): CHRISTOPHER OWEN RUUD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 08/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W 38TH ST STE 200
AUSTIN TX
78705-1165
US

IV. Provider business mailing address

PO BOX 911230
DALLAS TX
75391-1230
US

V. Phone/Fax

Practice location:
  • Phone: 512-421-4100
  • Fax:
Mailing address:
  • Phone: 972-997-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberF5732
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberF5732
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: