Provider Demographics
NPI:1780809236
Name:ORANGE FAMILY PRACTICE ASSOCIATES
Entity type:Organization
Organization Name:ORANGE FAMILY PRACTICE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RUTLEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-883-3201
Mailing Address - Street 1:610 STRICKLAND DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-4790
Mailing Address - Country:US
Mailing Address - Phone:409-883-3201
Mailing Address - Fax:409-883-3220
Practice Address - Street 1:610 STRICKLAND DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-4790
Practice Address - Country:US
Practice Address - Phone:409-883-3201
Practice Address - Fax:409-883-3220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty