Individual
MELANIE FULTON RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
609 S MAIN ST, BOERNE, TX 78006-2639
(210) 687-1110
(210) 697-1118
Mailing address
609 S MAIN ST, BOERNE, TX 78006-2639
(210) 687-1110
(210) 687-1118
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
AP143267
TX
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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