person
Ms. Shannon Alexander Ruth, PA
Medical Physician Assistant in Luling, Texas
NPI 1720250087

Shannon Alexander Ruth is a Medical Physician Assistant based in Luling, TX and is specialized in Medical. Shannon Alexander Ruth practices in Luling, TX and has the professional credentials of PA. The NPI Number for Shannon Alexander Ruth is 1720250087 and holds a License No. PA05863 (Texas).

The current practice location address for Shannon Alexander Ruth is 130 Hays St, Luling, TX and can be reached out via phone at 830-875-3445 and via fax at 830-875-3765.

Location: 130 Hays St, Luling, TX, 78648-3207
person
Provider Profile Details
NPI Number
1720250087
Provider Name
Shannon Alexander Ruth
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
130 Hays St, Luling, TX, 78648-3207
Phone Number
830-875-3445
Fax Number
830-875-3765
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
280084902 05 TX
institution
Provider Business Practice Location Address Details
Address
130 Hays St
City
State
Zip
78648-3207
Phone Number
830-875-3445
Fax Number
830-875-3765
person
Provider Business Mailing Address Details
Address
130 Hays St
City
State
Zip
78648-3207
Phone Number
830-875-3445
Fax Number
830-875-3765
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA05863 (Texas)
Definition
Definition to come...
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