Individual
JEANETTE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3445 EXECUTIVE CENTER DR, STE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 222-0146
Mailing address
3445 EXECUTIVE CENTER DR, STE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 222-0146
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
S4859
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2013
Last updated
03/31/2020
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