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Individual

HEINE RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 VISION PARK BLVD, SHENANDOAH, TX 77384-3000
(713) 442-1800
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M3078
TX
208M00000X
Hospitalist Physician
Primary
M3078
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1980864-01
TX
05
198086402
TX
05
198086406
TX
01
8BG163
BCBS
TX
01
8CU219
BCBS
TX
01
P00614422
RAILROAD
Enumeration date
01/15/2007
Last updated
01/06/2023
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