MEDICARE: DR. THOMAS J. RUHNKE 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	2085R0202X	Diagnostic Radiology Physician	H8366	TX

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	:	1831199546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS J. RUHNKE JR. M.D.

Provider Business Mailing Address
First Line	:	2609 RUTGERS CT
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8700
Country	:	US
Telephone Number	:	214-564-5051
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 E PRESIDENT GEORGE BUSH HWY
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3561
Country	:	US
Telephone Number	:	469-204-5000
Fax Number	:	469-204-5036

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	03/19/2020

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