Dr. Neshia Renae Rudd, O.D.
Optometrist in Tyler, TX. Individual provider (NPI-1).
NPI number1083727770
StatusActive
Last updated in NPPESSep 27, 2022
Details
- NPI
- 1083727770
- Entity type
- Individual (NPI-1)
- Name
- Dr. Neshia Renae Rudd
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2006
- Certification date
- Sep 27, 2022
- Last updated
- Sep 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 5643TG | TX | Yes |
Other names
- Neshia Renae Rudd (Professional Name)
Practice location
4139 S Broadway AveTyler, TX 75701-8720
Phone 903-534-8349 · Fax 903-581-8203
Mailing address
4139 S Broadway AveTyler, TX 75701-8720
Phone 903-581-9651
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