MEDICARE: DR. RUBY D SAULOG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	J6233	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033193677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUBY D SAULOG M.D.

Provider Business Mailing Address
First Line	:	1731 HAGY BLVD
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1710
Country	:	US
Telephone Number	:	877-664-6669
Fax Number	:	716-325-9094

Provider Business Practice Location Address
First Line	:	500 E SAINT JOHNS AVE STE 2620
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-2541
Country	:	US
Telephone Number	:	877-664-6669
Fax Number	:	716-325-9094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	07/11/2025

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