Individual
MONICA ISABELLA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 638-2000
(833) 989-0323
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 638-2000
(833) 989-0323
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N6629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283514201
—
TX
05
—
283514202
—
TX
01
—
8CW428
BLUE CROSS BLUE SHIELD
TX
01
—
8SW421
BLUE CROSS BLUE SHIELD
TX
01
—
P00979864
RAILROAD MEDICARE
TX
Enumeration date
05/13/2010
Last updated
09/28/2023
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