Provider Demographics
NPI:1396032108
Name:GARZA, RUBY OLALLA (DC)
Entity Type:Individual
Prefix:DR
First Name:RUBY
Middle Name:OLALLA
Last Name:GARZA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2639 WALNUT HILL LN
Mailing Address - Street 2:SUITE 227
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-5640
Mailing Address - Country:US
Mailing Address - Phone:214-353-7550
Mailing Address - Fax:
Practice Address - Street 1:2639 WALNUT HILL LN
Practice Address - Street 2:SUITE 227
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-5640
Practice Address - Country:US
Practice Address - Phone:214-353-7550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor