Individual
DR. C IVAN E CRUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2975 E BROAD ST STE 200, MANSFIELD, TX 76063-9186
(682) 518-8619
(682) 518-8195
Mailing address
2975 E BROAD ST STE 200, MANSFIELD, TX 76063-9186
(682) 518-8619
(682) 518-8195
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
S2273
TX
Other
Enumeration date
03/29/2014
Last updated
09/14/2020
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