Individual
RUTH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPCP
Contact information
Practice address
2810 DACY LN, KYLE, TX 78640-6322
(512) 268-8900
(512) 268-2250
Mailing address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7000
(210) 277-6387
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP114952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341875801
—
TX
Enumeration date
08/19/2014
Last updated
07/21/2022
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