Individual
DENNISSE RUIZ-ADIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4001 W 15TH ST STE 480, PLANO, TX 75093-5853
(972) 985-0123
Mailing address
2419 COIT RD, SUITE B, PLANO, TX 75075-3731
(972) 985-0123
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M7582
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M7582
TX LIC
TX
Enumeration date
06/06/2007
Last updated
03/16/2018
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