Individual
RUBEN L SUNGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
731 12TH AVE NW, STE 301, ARDMORE, OK 73401-5761
(580) 319-1391
(580) 319-4004
Mailing address
1816 SUNSET PARK TER, ARDMORE, OK 73401-3599
(580) 319-1391
(580) 319-4004
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K6351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144013303
—
TX
Enumeration date
10/04/2006
Last updated
02/15/2012
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