Healthcare Provider Details

I. General information

NPI: 1083624340
Provider Name (Legal Business Name): RUTH ANN PLOTKIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 04/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

864 CENTRAL BLVD SUITE 2400
BROWNSVILLE TX
78520-7551
US

IV. Provider business mailing address

864 CENTRAL BLVD SUITE 2400
BROWNSVILLE TX
78520-7551
US

V. Phone/Fax

Practice location:
  • Phone: 956-541-5383
  • Fax: 956-541-0302
Mailing address:
  • Phone: 956-541-5383
  • Fax: 956-541-0302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberG2812
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: