Healthcare Provider Details

I. General information

NPI: 1740675479
Provider Name (Legal Business Name): EMILY CECILIA RUTLEDGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY RUTLEDGE BRANSTETTER

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST STE 2221
HOUSTON TX
77030-2722
US

IV. Provider business mailing address

6550 FANNIN ST STE 2221
HOUSTON TX
77030-2722
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-5800
  • Fax:
Mailing address:
  • Phone: 713-441-5800
  • Fax: 713-791-5023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP10052490
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberS0788
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberS0788
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: