Individual
JANIE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1310 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-5601
(210) 757-2110
Mailing address
11719 CAMP REAL LN, SAN ANTONIO, TX 78253-5720
(210) 639-4569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1128009
TX
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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