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NPI Code Detail

MEDICARE: SHENEE RUFFIN

MEDICARE: SHENEE RUFFIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2108160TX

General Provider Information

NPI Number : 1679965958
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHENEE RUFFIN
Provider Business Mailing Address
First Line : 9563 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77025-4531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9563 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77025-4531
Country : US
Telephone Number : 713-400-3232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 02/24/2015

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Directions to “ SHENEE RUFFIN ” Practice Location

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