Individual
JAVIER RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
791200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217074801
—
TX
01
—
836N01
BCBS
TX
Enumeration date
10/07/2010
Last updated
02/16/2011
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