Provider Demographics
NPI:1689169195
Name:RUIZ, ISABEL
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4613 BEE CAVES RD # 201
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5203
Mailing Address - Country:US
Mailing Address - Phone:512-347-0700
Mailing Address - Fax:512-347-0702
Practice Address - Street 1:7301 N FM 620 RD STE 165
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-4543
Practice Address - Country:US
Practice Address - Phone:512-534-4000
Practice Address - Fax:512-534-4444
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9505152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist