Provider Demographics
NPI:1225693252
Name:FELTON, RUTH ANNE
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANNE
Last Name:FELTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10107 PRAIRIE MIST ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-2242
Mailing Address - Country:US
Mailing Address - Phone:281-701-6022
Mailing Address - Fax:877-781-8459
Practice Address - Street 1:10107 PRAIRIE MIST ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2242
Practice Address - Country:US
Practice Address - Phone:281-701-6022
Practice Address - Fax:877-781-8459
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-06
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143212363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty