MEDICARE: CHARLES RURANGIRWA,MD PA

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
1	207V00000X	Obstetrics & Gynecology Physician	K3446	TX

General Provider Information

NPI Number	:	1144544487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLES RURANGIRWA,MD PA

Provider Business Mailing Address
First Line	:	1119 CENTRAL BLVD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-7532
Country	:	US
Telephone Number	:	956-548-0900
Fax Number	:	956-548-0776

Provider Business Practice Location Address
First Line	:	1119 CENTRAL BLVD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-7532
Country	:	US
Telephone Number	:	956-548-0900
Fax Number	:	956-548-0776

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHARLES RURANGIRWA
Credential	:	MD
Telephone Number	:	956-548-0900

Provider Enumeration Date	:	03/16/2010
Last Update Date	:	03/16/2010

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