Individual
RUTH T CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4327 BARNETT RD, WICHITA FALLS, TX 76310-2303
(940) 764-5200
(940) 764-5201
Mailing address
PO BOX 9161, WICHITA FALLS, TX 76308-9161
(407) 647-2309
(940) 764-7255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1937
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1663PA
—
SC
Enumeration date
06/21/2013
Last updated
05/06/2019
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