Individual
MS. SHANNON ALEXANDER RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
130 HAYS ST, SUITE D, LULING, TX 78648-3207
(830) 875-3445
(830) 875-3765
Mailing address
130 HAYS ST, SUITE D, LULING, TX 78648-3207
(830) 875-3445
(830) 875-3765
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280084902
—
TX
Enumeration date
03/27/2008
Last updated
11/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us