| Timothy Rudolph Md Pa | |
|
400 N Brown St Hamilton TX 76531-1518 | |
| (254) 386-1600 | |
| (254) 386-4950 |
| Full Name | Timothy Rudolph Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 400 N Brown St, Hamilton, Texas |
| Authorized Official Name and Position | Brenda L Hardin (OFC CEO) |
| Authorized Official Contact | 2542230950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Rudolph Md Pa 639 Lee Rd Hamilton TX 76531-1700 Ph: (254) 223-0950 | Timothy Rudolph Md Pa 400 N Brown St Hamilton TX 76531-1518 Ph: (254) 386-1600 |
| NPI Number | 1932768264 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 8527398809 |
|---|---|
| Medicare Enrollment ID | O20190930002252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932768264 | NPI | - | NPPES |
| 199796703 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy N Rudolph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982777975 PECOS PAC ID: 9931279734 Enrollment ID: I20080605000552 |
Family Practice Associates Of Hamilton Co Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Brown, Hamilton, TX 76531 Phone: 254-386-1600 Fax: 254-386-5131 | |
Hamilton General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Brown St Bldg I, Hamilton, TX 76531 Phone: 254-386-1600 Fax: 254-386-5173 | |
Family Practice Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Brown St Bldg Ii, Hamilton, TX 76531 Phone: 254-386-1700 Fax: 254-386-4950 | |
Ping N. Tan, Md, Pa, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N Brown St, Hamilton, TX 76531 Phone: 254-386-8136 Fax: 254-386-3988 |