Individual
MR. MARK EDWARD RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
8107 SILVER HAMPTON, SAN ANTONIO, TX 78254-2805
(210) 375-6846
Mailing address
8107 SILVER HAMPTON, SAN ANTONIO, TX 78254-2805
(210) 375-6846
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2830
TX
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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