Provider Demographics
NPI:1780714170
Name:ATLAS, RUTH M (MD)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:M
Last Name:ATLAS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:14441 MEMORIAL DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6744
Mailing Address - Country:US
Mailing Address - Phone:281-493-1221
Mailing Address - Fax:281-493-0484
Practice Address - Street 1:14441 MEMORIAL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-6744
Practice Address - Country:US
Practice Address - Phone:281-493-1221
Practice Address - Fax:281-493-0484
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG76162084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10019057Medicaid
TXD34182Medicare UPIN
TX10019057Medicaid