Provider Demographics
NPI:1154458750
Name:RUIZ, ABIGAIL (STA)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:STA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E SIOUX RD
Mailing Address - Street 2:511
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-2035
Mailing Address - Country:US
Mailing Address - Phone:956-581-7171
Mailing Address - Fax:956-581-7178
Practice Address - Street 1:7600 W EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9561
Practice Address - Country:US
Practice Address - Phone:956-581-7171
Practice Address - Fax:956-581-7178
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339412355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant