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Individual

RUTH HARTJEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1010
Mailing address
817 SUNFISH ST, LAKEWAY, TX 78734-4411

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
L8365
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164881801
TX
Enumeration date
05/06/2006
Last updated
03/26/2008
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