North Texas Electrodiagnostics and Rehabilitation PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

J4489 Issued in TX

Legal business name

NORTH TEXAS ELECTRODIAGNOSTICS AND REHABILITATION PA

Practice address

307 E Ovilla Rd
Suite 600
Red Oak, TX 75154-3833

Phone

(972) 576-2920

Fax

(972) 617-3930

NPI assigned

Jan 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorraine Rudder, MD

Title

Medical Provider

Phone

(972) 576-2920

Specialties & licenses 1

Addresses

Other names 1

• DEFINITIVE REHABILITATION AND PAIN MANAGEMENT Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1801072293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E OVILLA RD",
            "address_2": "SUITE 600",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543833",
            "telephone_number": "972-576-2920",
            "fax_number": "972-617-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E OVILLA RD",
            "address_2": "SUITE 600",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543833",
            "telephone_number": "972-576-2920",
            "fax_number": "972-617-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS ELECTRODIAGNOSTICS AND REHABILITATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "RUDDER",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "972-576-2920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEFINITIVE REHABILITATION AND PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• National Athletic Trainers Association
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• Brian Hieu Nguyen, MD
• Vu Uy Nguyen, PHARMD
• North Texas Electrodiagnostics and Rehabilitation PA
• Osinachi Nwachukwu Obasi
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• Oasis Eye Care, PLLC
• Martha Oglesby, APRN-CNP
• Oredunni Oguntodu

• Interventional Pain Medicine Physician in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.