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NPI Code Detail

MEDICARE: RUDO SHOKO

MEDICARE: RUDO SHOKO
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP124678TX

General Provider Information

NPI Number : 1366871543
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUDO SHOKO
Provider Business Mailing Address
First Line : 5311 COURT OF YORK
Second Line :
City : HOUSTON
State : TX
Zip : 77069-1939
Country : US
Telephone Number : 214-586-2135
Fax Number :
Provider Business Practice Location Address
First Line : 13810 CHAMPION FOREST DR STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77069-1883
Country : US
Telephone Number : 281-231-8475
Fax Number : 661-215-1855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2013
Last Update Date : 03/06/2026

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Directions to “ RUDO SHOKO ” Practice Location

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