Individual
DR. RUBEN ERNESTO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3144 HORIZON RD STE 210, ROCKWALL, TX 75032-7045
(972) 771-2222
(972) 771-3350
Mailing address
7610 N STEMMONS FWY STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K0186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044505801
—
TX
01
—
85Y151
BCBSTX
TX
Enumeration date
03/24/2006
Last updated
02/04/2020
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