Provider Demographics
NPI:1891357372
Name:MINHAS, RUBY (DMD)
Entity Type:Individual
Prefix:DR
First Name:RUBY
Middle Name:
Last Name:MINHAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 ENGLISHTOWN DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-1881
Mailing Address - Country:US
Mailing Address - Phone:817-907-9462
Mailing Address - Fax:
Practice Address - Street 1:3811 W STATE HIGHWAY 31 STE 801
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-0028
Practice Address - Country:US
Practice Address - Phone:903-229-4573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35306122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist