| Orange Medical Surgical Assoc Llp | |
|
610 Strickland Dr Suite 290c Orange TX 77630-4786 | |
| (409) 883-9111 | |
| Not Available |
| Full Name | Orange Medical Surgical Assoc Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Strickland Dr, Orange, Texas |
| Authorized Official Name and Position | William Martin Rutledge (C.O.O.) |
| Authorized Official Contact | 4098833201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Medical Surgical Assoc Llp 610 Strickland Suite 200-c Orange TX 77630-4790 Ph: (409) 883-3201 | Orange Medical Surgical Assoc Llp 610 Strickland Dr Suite 290c Orange TX 77630-4786 Ph: (409) 883-9111 |
| NPI Number | 1780787861 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 03/03/2009 |
| Medicare PECOS PAC ID | 4688561277 |
|---|---|
| Medicare Enrollment ID | O20040228000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780787861 | NPI | - | NPPES |
| 0033BM | Other | TX | BLUE CROSS BLUE SHEILD |
| 080394201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
| Provider Name | William Martin Rutledge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487761375 PECOS PAC ID: 5395802193 Enrollment ID: I20100804000861 |
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