Individual
NORMA RUANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2525 N VETERANS BLVD, EAGLE PASS, TX 78852-3302
(830) 773-4557
(830) 773-0328
Mailing address
PO BOX 1470, EAGLE PASS, TX 78853-1470
(830) 773-8917
(830) 773-1892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14987
TX
1223P0221X
Pediatric Dentistry
Primary
14987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120908208
—
TX
01
—
14987
TX STATE BOARD OF DENTAL EXAMINERS LICENSE
TX
01
—
F0063772
DPS
TX
Enumeration date
09/26/2006
Last updated
03/07/2023
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