Individual
JESUS HILARIO RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 VICTOR LOPEZ DR, EL PASO, TX 79936-6107
(915) 258-2175
Mailing address
1620 VICTOR LOPEZ DR, EL PASO, TX 79936-6107
(915) 258-2175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1718-P.A.
PR
Other
Enumeration date
07/25/2023
Last updated
08/11/2023
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