Provider Demographics
NPI:1073615175
Name:ANTHONY-WHITE, RUBY L (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBY
Middle Name:L
Last Name:ANTHONY-WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S CLAY ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119
Mailing Address - Country:US
Mailing Address - Phone:972-875-6600
Mailing Address - Fax:972-875-8776
Practice Address - Street 1:601 S CLAY ST
Practice Address - Street 2:SUITE 104
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119
Practice Address - Country:US
Practice Address - Phone:972-875-6600
Practice Address - Fax:972-875-8776
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0651207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine