Healthcare Provider Details

I. General information

NPI: 1407792146
Provider Name (Legal Business Name): CHELSEA RUTH KNIGHT PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 CONGRESS AVE STE 10-200
AUSTIN TX
78701-1320
US

IV. Provider business mailing address

4321 QUAD CITY ST APT 7111
FORT WORTH TX
76155-1090
US

V. Phone/Fax

Practice location:
  • Phone: 512-305-7400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1231991
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: