Provider Demographics
NPI:1225083322
Name:RUJA, MARIUS (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIUS
Middle Name:
Last Name:RUJA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BUTTERFIELD TRAIL BLVD STE 122D
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79906-4951
Mailing Address - Country:US
Mailing Address - Phone:915-521-2020
Mailing Address - Fax:915-213-5422
Practice Address - Street 1:3 BUTTERFIELD TRAIL BLVD STE 122D
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79906-4951
Practice Address - Country:US
Practice Address - Phone:915-521-2020
Practice Address - Fax:915-213-5422
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7101171100000X, 111N00000X
NMDC2211207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F7290OtherBC/BS OF TEXAS
TXPO84X6010Medicaid
TXP00789328OtherRAILROAD MEDICARE
TXP00789328OtherRAILROAD MEDICARE
TX8C6752Medicare ID - Type Unspecified