Individual
MR. WAYNE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
5400 N LAMAR BLVD, 203, AUSTIN, TX 78751-1837
(512) 458-4589
(512) 206-0955
Mailing address
1104 W 34TH ST, AUSTIN, TX 78705-1908
(512) 458-4589
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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