MEDICARE: RUDENS VIERA NP PC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1508648080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUDENS VIERA NP PC

Provider Business Mailing Address
First Line	:	PO BOX 230641
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77223-0641
Country	:	US
Telephone Number	:	832-812-3950
Fax Number	:

Provider Business Practice Location Address
First Line	:	6060 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5425
Country	:	US
Telephone Number	:	832-649-2169
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MR. RUDENS VIERA GALVEZ
Credential	:	NP
Telephone Number	:	832-812-3950

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	12/11/2025

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