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Individual

DR. ANTONIO LUIS RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 TUSCANY WAY, SHAVANO PARK, TX 78249-2061
(210) 699-3815
(210) 699-1896
Mailing address
115 TUSCANY WAY, SHAVANO PARK, TX 78249-2061
(210) 699-3815
(210) 699-1896

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F0655
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134998704
TX
Enumeration date
10/25/2005
Last updated
05/03/2026
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