Ruiz, Mark David

Ruiz, Mark David is an individual health care provider with primary practice located at 11211 Taylor Draper Ln Suite 202, Austin TX 78759-3916. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ruiz, Mark David can be contacted via phone (512) 343-8850.

Contact Information

Primary practice address
11211 Taylor Draper Ln Suite 202 Austin TX 78759-3916
Phone: (512) 343-8850
Fax: (512) 343-8079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32858 Texas

Profile Details

NPI number 1669418554
LBN Legal business name Ruiz, Mark David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 21st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669418554 NPPES
Texas MEDICAID 079974401

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