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NPI Code Detail

MEDICARE: KASI ERIN RUIZ M.S., CCC-SLP

MEDICARE:   KASI ERIN RUIZ  M.S., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist103351TX

General Provider Information

NPI Number : 1720258213
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASI ERIN RUIZ M.S., CCC-SLP
Provider Business Mailing Address
First Line : 605 E BROAD ST
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-1794
Country : US
Telephone Number : 817-299-4300
Fax Number : 956-519-2520
Provider Business Practice Location Address
First Line : 605 E BROAD ST
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-1794
Country : US
Telephone Number : 817-299-4300
Fax Number : 956-519-2520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2008
Last Update Date : 03/31/2026

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Directions to “ KASI ERIN RUIZ M.S., CCC-SLP” Practice Location

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