Provider Demographics
NPI:1588739007
Name:RUBY L. ANTHONY-WHITE, MD, P.A.
Entity type:Organization
Organization Name:RUBY L. ANTHONY-WHITE, MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANTHONY-WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-875-6600
Mailing Address - Street 1:601 S CLAY ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-5771
Mailing Address - Country:US
Mailing Address - Phone:972-875-6600
Mailing Address - Fax:
Practice Address - Street 1:601 S CLAY ST
Practice Address - Street 2:SUITE 104
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-5771
Practice Address - Country:US
Practice Address - Phone:972-875-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0651207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty