Provider Demographics
NPI:1891854782
Name:ARBUCKLE, RUTH CAROLYN (DC)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:CAROLYN
Last Name:ARBUCKLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1700 S LAMAR BLVD
Mailing Address - Street 2:SUITE 322
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-8962
Mailing Address - Country:US
Mailing Address - Phone:512-825-7386
Mailing Address - Fax:512-326-5660
Practice Address - Street 1:1700 S LAMAR BLVD
Practice Address - Street 2:SUITE 322
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-8962
Practice Address - Country:US
Practice Address - Phone:512-825-7386
Practice Address - Fax:512-326-5660
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor