Provider Demographics
NPI:1598928442
Name:PAGE, RUBY F
Entity Type:Individual
Prefix:MISS
First Name:RUBY
Middle Name:F
Last Name:PAGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1104
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77305-1104
Mailing Address - Country:US
Mailing Address - Phone:936-788-4005
Mailing Address - Fax:936-271-9861
Practice Address - Street 1:13655 KIDD RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-7613
Practice Address - Country:US
Practice Address - Phone:936-788-4005
Practice Address - Fax:936-271-9861
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management