Provider Demographics
NPI:1083624340
Name:PLOTKIN, RUTH ANN (MD)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:PLOTKIN
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 1:864 CENTRAL BLVD
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7551
Mailing Address - Country:US
Mailing Address - Phone:956-541-5383
Mailing Address - Fax:956-541-0302
Practice Address - Street 1:864 CENTRAL BLVD
Practice Address - Street 2:SUITE 2400
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7551
Practice Address - Country:US
Practice Address - Phone:956-541-5383
Practice Address - Fax:956-541-0302
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG28122080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137119709OtherCIDC/MEDICAID
TX137119707Medicaid
TX00TU95OtherBLUE CROSS
TX129764100OtherVALLEY BAPTIST HEALTH PLA
TX137119709OtherCIDC/MEDICAID
TXE02238Medicare UPIN