Individual
ASHLEY NICOLE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W TRENTON RD, EDINBURG, TX 78539-9105
(956) 388-6000
(956) 289-2956
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(956) 632-4000
(956) 961-4286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S4618
TX
208M00000X
Hospitalist Physician
Primary
S4618
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F0830
MEDICARE PIN
TX
Enumeration date
04/04/2017
Last updated
10/30/2020
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