Individual
CALIXTO J RUIBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7109-B LAWNDALE, LAWNDALE MEDICAL CLINIC, HOUSTON, TX 77023
(713) 924-4907
(713) 924-4182
Mailing address
7109-B LAWNDALE, LAWNDALE MEDICAL CLINIC, HOUSTON, TX 77023
(713) 924-4907
(713) 924-4182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121482701
—
TX
Enumeration date
09/14/2006
Last updated
11/06/2012
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