Pamela Ruiz, PA
Individual provider Active NPI Physician Assistant · Alpine, TX
NPI 1720701212 · NPPES record last updated Sep 21, 2022
Key facts
- NPI
- 1720701212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1357 (PR)
- Practice address
- 509 E Nations St
Alpine, TX 79830-3728 - Phone
- (956) 478-3427
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1357 | PR | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1357 | PR | |
| Physician Assistant | 363A00000X | 1357 | PR | Yes |
Addresses
Primary practice location
509 E Nations St
Alpine, TX 79830-3728
Mailing address
509 E Nations St
Alpine, TX 79830-3728
Phone (956) 478-3427
Other providers in Alpine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.