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Individual

DR. MARK AARON RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1821 OLD MILL RUN, GARLAND, TX 75042-4214
(972) 494-2020
(972) 276-5664
Mailing address
1821 OLD MILL RUN, GARLAND, TX 75042-4214
(972) 494-2020
(972) 276-5664

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5317TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0192916 01
TX
Enumeration date
08/22/2005
Last updated
01/13/2011
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