Provider Demographics
NPI:1760466395
Name:RUDA, JOSEPH FRANK JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANK
Last Name:RUDA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:15 PROFESSIONAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4123
Mailing Address - Country:US
Mailing Address - Phone:281-332-1559
Mailing Address - Fax:
Practice Address - Street 1:1315 ST JOSEPH PKWY STE 1205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8235
Practice Address - Country:US
Practice Address - Phone:713-659-3937
Practice Address - Fax:713-659-2553
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2022-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA32463207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A324630Medicaid
CA00A324630Medicare ID - Type Unspecified
CA00A324630Medicaid