MEDICARE: RUBEN JAUREGUI MD

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	207WX0109X	Neuro-ophthalmology Physician	V9024	TX
2	207W00000X	Ophthalmology Physician	V9024	TX

General Provider Information

NPI Number	:	1063031508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBEN JAUREGUI MD

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-5347
Country	:	US
Telephone Number	:	214-645-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	5303 HARRY HINES BLVD FL 6
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-6402
Country	:	US
Telephone Number	:	214-645-2020
Fax Number	:

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

Provider Enumeration Date	:	04/14/2020
Last Update Date	:	12/24/2025

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Directions to “ RUBEN JAUREGUI MD” Practice Location

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