Healthcare Provider Details

I. General information

NPI: 1194802389
Provider Name (Legal Business Name): MELISSA RUIZ CADY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA RUIZ-CADY SNEED D.O.

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/25/2021
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6104 OLD FREDERICKSBURG RD # 92844
AUSTIN TX
78749-1216
US

IV. Provider business mailing address

PO BOX 92844
AUSTIN TX
78709-2844
US

V. Phone/Fax

Practice location:
  • Phone: 669-237-2239
  • Fax:
Mailing address:
  • Phone: 669-237-2239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number4207
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberM4554
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: