Provider Demographics
NPI:1326400318
Name:RUIZ, ADRIANA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 LAS COLINAS BLVD W
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5421
Mailing Address - Country:US
Mailing Address - Phone:972-957-3000
Mailing Address - Fax:214-237-1246
Practice Address - Street 1:701 S STEMMONS FWY
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4547
Practice Address - Country:US
Practice Address - Phone:972-316-6495
Practice Address - Fax:972-316-6500
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX714103363LF0000X
TXAP130670363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily