Provider Demographics
NPI:1518006840
Name:RUDE, CATHY A (CPM, LM)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:A
Last Name:RUDE
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 E ELM CIR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1131
Mailing Address - Country:US
Mailing Address - Phone:281-635-2847
Mailing Address - Fax:281-391-9081
Practice Address - Street 1:3110 E ELM CIR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1131
Practice Address - Country:US
Practice Address - Phone:281-635-2847
Practice Address - Fax:281-391-9081
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96035176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNP7316OtherBLUE CROSS BLUE SHIELD OF TEXAS