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Individual

DR. RAFAEL RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 770-1032
Mailing address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 770-1032

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME86222
FL
2084P0800X
Psychiatry Physician
Primary
N9406
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000731500
FL
Enumeration date
07/13/2006
Last updated
12/07/2012
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