Basic Information
| Provider Information | |||||||||
| NPI: | 1588739007 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RUBY L. ANTHONY-WHITE, MD, P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 S CLAY ST | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | ENNIS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751195771 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728756600 | ||||||||
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| Practice Location | |||||||||
| Address1: | 601 S CLAY ST | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | ENNIS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751195771 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728756600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 08/16/2011 | ||||||||
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| AuthorizedOfficialLastName: | ANTHONY-WHITE | ||||||||
| AuthorizedOfficialFirstName: | RUBY | ||||||||
| AuthorizedOfficialMiddleName: | L. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9728756600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | G0651 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.