IndividualActive
Shannon Ruth, PA
NPI 1720250087 · Medical Physician Assistant · Luling, TX
Provider details
- NPI number
- 1720250087
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA05863 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
130 Hays St
Suite D
Luling, TX 78648-3207
Phone: (830) 875-3445
Fax: (830) 875-3765
Approximate (ZIP-level) locationGet directions
Mailing address
130 Hays St
Luling, TX 78648-3207
Registry dates
- Enumerated
- 2008-03-27
- Last updated
- 2012-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.