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Individual

MARIO E RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18126 PRESTONSHIRE, SAN ANTONIO, TX 78258-4473
(210) 844-7575
(210) 493-8297
Mailing address
18126 PRESTONSHIRE, SAN ANTONIO, TX 78258-4473
(210) 844-7575
(210) 493-8297

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
K1917
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117724806
TX
Enumeration date
06/21/2006
Last updated
04/06/2011
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