Provider Demographics
NPI:1033092622
Name:WOODRUFF, RONITA M (MS)
Entity type:Individual
Prefix:
First Name:RONITA
Middle Name:M
Last Name:WOODRUFF
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10527 CARROLLTON CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6795
Mailing Address - Country:US
Mailing Address - Phone:832-537-1380
Mailing Address - Fax:
Practice Address - Street 1:637 TRAMMEL FRESNO RD STE A
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-8049
Practice Address - Country:US
Practice Address - Phone:832-537-1380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health