Provider Demographics
NPI:1922573609
Name:THE RUIZ GROUP, LLC
Entity Type:Organization
Organization Name:THE RUIZ GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:RUIZ-BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-534-1651
Mailing Address - Street 1:7416 RUSTON LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-5701
Mailing Address - Country:US
Mailing Address - Phone:214-534-1651
Mailing Address - Fax:
Practice Address - Street 1:2914 VALLEY VIEW LN
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-4929
Practice Address - Country:US
Practice Address - Phone:214-534-1651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care