Basic Information
| Provider Information | |||||||||
| NPI: | 1528366333 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RUDOW | ||||||||
| FirstName: | GALIT | ||||||||
| MiddleName: | VIVIANA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 211 COMAL ST | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787024326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129789200 | ||||||||
| FaxNumber: | 5129019757 | ||||||||
| Practice Location | |||||||||
| Address1: | 211 COMAL ST | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787024326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129789200 | ||||||||
| FaxNumber: | 5129019757 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2011 | ||||||||
| LastUpdateDate: | 03/30/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | AP120032 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.