Provider Demographics
NPI:1346578994
Name:RUMSCH, ORVILLE GEORGE WILLIAM II
Entity Type:Individual
Prefix:
First Name:ORVILLE
Middle Name:GEORGE WILLIAM
Last Name:RUMSCH
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 HIDE A WAY LN W
Mailing Address - Street 2:
Mailing Address - City:HIDEAWAY
Mailing Address - State:TX
Mailing Address - Zip Code:75771-5115
Mailing Address - Country:US
Mailing Address - Phone:903-882-5002
Mailing Address - Fax:903-882-5305
Practice Address - Street 1:1335 HIDE A WAY LN W
Practice Address - Street 2:
Practice Address - City:HIDEAWAY
Practice Address - State:TX
Practice Address - Zip Code:75771-5115
Practice Address - Country:US
Practice Address - Phone:903-882-5002
Practice Address - Fax:903-882-5305
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor