Ruth E Anderson, R.D.

Individual provider Active NPI Renal Nutrition Registered Dietitian · San Angelo, TX

NPI 1992840755 · NPPES record last updated Dec 1, 2015

Key facts

NPI
1992840755
Entity type
Individual (NPI type 1)
Primary specialty
Renal Nutrition Registered Dietitian 133VN1005X
License
DT80349 (TX)
Practice address
120 East Harris
San Angelo, TX 76903
Phone
(325) 657-5002
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1122KSMDAddiction (Substance Use Disorder) Counselor
DT80349TXMDRenal Nutrition Registered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1122 KS
Renal Nutrition Registered Dietitian 133VN1005X DT80349 TX Yes

Addresses

Primary practice location

120 East Harris
San Angelo, TX 76903

Mailing address

120 East Harris
San Angelo, TX 76903
Phone (325) 657-5002

Other providers in San Angelo, TX

All providers in San Angelo, TX · Renal Nutrition Registered Dietitian in Texas

Sources for this page

Verify at the official NPI Registry.