Sandoval, Ruben Ernesto

Sandoval, Ruben Ernesto is an individual health care provider with primary practice located at 3144 Horizon Rd Ste 210 , Rockwall TX 75032-7045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sandoval, Ruben Ernesto can be contacted via phone (972) 771-2222.

Contact Information

Primary practice address
3144 Horizon Rd Ste 210 Rockwall TX 75032-7045
Phone: (972) 771-2222
Fax: (972) 771-3350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X K0186 Texas

Profile Details

NPI number 1205896164
LBN Legal business name Sandoval, Ruben Ernesto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 4th, 2020 - about 4 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 1205896164 NPPES
Texas Other 85Y151 BCBSTX
Texas MEDICAID 044505801 BCBSTX

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