Individual provider · Type 1 NPI
Michael Robert Ruttle, P.A
Medical Physician Assistant · Huntsville, TX
NPI number
1801916556
Active
Practice location
2507 Lake Rd # 2
Huntsville, TX 77340-5735
Fax (936) 291-7206
Mailing address
18335 Dogwood Dr
Conroe, TX 77303-3217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00723 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1801916556
Michael Robert Ruttle, P.A's National Provider Identifier is 1801916556, issued on Mar 29, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Huntsville, TX. The record was last updated on Jul 8, 2007.