Provider Demographics
NPI:1417056409
Name:CRUZ, SAMYA VARUSCHKA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMYA
Middle Name:VARUSCHKA
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:777 W POPLAR AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-6500
Mailing Address - Country:US
Mailing Address - Phone:901-221-7175
Mailing Address - Fax:901-221-7193
Practice Address - Street 1:7665 W HWY 70
Practice Address - Street 2:SUITE 101
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133
Practice Address - Country:US
Practice Address - Phone:901-207-6535
Practice Address - Fax:901-417-7894
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2022-03-28
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Provider Licenses
StateLicense IDTaxonomies
TN59106207Q00000X
IN01062943A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine