Individual
JOE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E 15TH ST, AUSTIN, TX 78701-1930
(512) 324-7150
Mailing address
185 RAINTREE DR, KYLE, TX 78640-5837
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
103827
TX
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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