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Individual

DAVID AUSTIN RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
416 N GRAY ST, KILLEEN, TX 76541-5247
(254) 634-7805
(254) 634-1034
Mailing address
416 N GRAY ST, KILLEEN, TX 76541-5247
(254) 634-7805
(254) 634-1034

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2936TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0995120001
CIGNA GOVERMENT SERVICES
TX
05
112302801
TX
Enumeration date
02/02/2006
Last updated
11/09/2016
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