Individual
MARTHA ANN RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
155 W BONNER AVE, SAN ANTONIO, TX 78214-2475
(210) 531-6497
Mailing address
4242 MEDICAL DRIVE STE 6250, SAN ANTONIO, TX 78229
(210) 479-3297
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP145650
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP145650
TX
Other
Enumeration date
05/11/2020
Last updated
05/31/2024
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