Provider Demographics
NPI:1760545875
Name:RUFFIER, PATRICIA ANDREA
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANDREA
Last Name:RUFFIER
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 1:11220 ROJAS
Mailing Address - Street 2:STE C-4
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935
Mailing Address - Country:US
Mailing Address - Phone:915-855-9333
Mailing Address - Fax:915-855-9213
Practice Address - Street 1:11220 ROJAS
Practice Address - Street 2:STE C-4
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935
Practice Address - Country:US
Practice Address - Phone:915-855-9333
Practice Address - Fax:915-855-9213
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX012899251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM72102772Medicaid
NM72102772Medicaid