Provider Demographics
NPI:1588322630
Name:STEVENS-MORGAN, RUBY J (PHD)
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:J
Last Name:STEVENS-MORGAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RUBY
Other - Middle Name:J
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 DOVE TRL
Mailing Address - Street 2:
Mailing Address - City:NAVASOTA
Mailing Address - State:TX
Mailing Address - Zip Code:77868-9602
Mailing Address - Country:US
Mailing Address - Phone:859-299-5014
Mailing Address - Fax:
Practice Address - Street 1:102 DOVE TRL
Practice Address - Street 2:
Practice Address - City:NAVASOTA
Practice Address - State:TX
Practice Address - Zip Code:77868-9602
Practice Address - Country:US
Practice Address - Phone:859-299-5014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date: