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Individual
DR. RUBY ELIZABETH KASSANOFF
Active
Individual
DR. RUBY ELIZABETH KASSANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K7564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046195601
—
TX
01
—
84424X
BCBS
TX
Enumeration date
08/13/2006
Last updated
07/20/2021
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