Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | G2812 | TX |
NPI | 1083624340 |
---|---|
Provider Name | Ruth Ann Plotkin |
First Address | Brownsville, TX 78520-7551 |
Second Address | Brownsville, TX 78520-7551 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 14/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00TU95 | BLUE CROSS (01) | TX |
129764100 | VALLEY BAPTIST HEALTH PLA (01) | TX |
137119707 | (05) | TX |
137119709 | CIDC/MEDICAID (01) | TX |
E02238 | (02) | TX |