Organization
CALIXTO J RUIBAL MD PA
Active
Other names
LAWNDALE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALIXTO JORGE RUIBAL MD (MEDICAL DIRECTOR)
(832) 200-1646
Entity
Organization
Contact information
Practice address
7109 LAWNDALE ST, SUITE B, HOUSTON, TX 77023-4248
(832) 200-1646
(832) 200-1660
Mailing address
7109 LAWNDALE ST, SUITE B, HOUSTON, TX 77023-4248
(832) 200-1646
(832) 200-1660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0921
TX
207Q00000X
Family Medicine Physician
H0743
TX
207Q00000X
Family Medicine Physician
J9368
TX
207R00000X
Internal Medicine Physician
K1780
TX
207RC0000X
Cardiovascular Disease Physician
E6843
TX
207RG0100X
Gastroenterology Physician
E9383
TX
207VG0400X
Gynecology Physician
E3766
TX
208000000X
Pediatrics Physician
K6707
TX
208600000X
Surgery Physician
G7822
TX
208800000X
Urology Physician
L8425
TX
261Q00000X
Clinic/Center
G0921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085095001
—
TX
Enumeration date
01/23/2007
Last updated
01/12/2011
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