MEDICARE: DR. JOSEPH FRANK RUDA JR. 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
1	207W00000X	Ophthalmology Physician	A32463	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760466395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH FRANK RUDA JR. M.D.

Provider Business Mailing Address
First Line	:	15 PROFESSIONAL PARK DR
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-4123
Country	:	US
Telephone Number	:	281-332-1559
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 ST JOSEPH PKWY STE 1205
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8235
Country	:	US
Telephone Number	:	713-659-3937
Fax Number	:	713-659-2553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	01/20/2022

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