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NPI Code Detail

MEDICARE: DR. KURT VONRUEDEN M.D.

MEDICARE: DR. KURT VONRUEDEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0117XOrthopaedic Surgery of the Spine PhysicianK1714TX

General Provider Information

NPI Number : 1114975893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KURT VONRUEDEN M.D.
Provider Business Mailing Address
First Line : PO BOX 2726
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78299-2726
Country : US
Telephone Number : 512-474-1114
Fax Number :
Provider Business Practice Location Address
First Line : 100 MEDICAL PKWY
Second Line :
City : LAKEWAY
State : TX
Zip : 78738-5621
Country : US
Telephone Number : 512-474-1114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 01/21/2014

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