Provider Demographics
NPI:1184664880
Name:GAIDYS, RUTA LEE (ARNP)
Entity Type:Individual
Prefix:
First Name:RUTA
Middle Name:LEE
Last Name:GAIDYS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:RUTA
Other - Middle Name:LEE
Other - Last Name:FRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2111 SOUTHERN PINES DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3320
Mailing Address - Country:US
Mailing Address - Phone:713-501-0081
Mailing Address - Fax:866-945-9469
Practice Address - Street 1:2111 SOUTHERN PINES DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3320
Practice Address - Country:US
Practice Address - Phone:713-501-0081
Practice Address - Fax:866-945-9469
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP113306363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB125343Medicare PIN