Healthcare Provider Details

I. General information

NPI: 1437453008
Provider Name (Legal Business Name): MARK RUGGLES PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7589 PRESTON RD STE 900
FRISCO TX
75034-5676
US

IV. Provider business mailing address

425 N HIGHLAND AVE STE 260
SHERMAN TX
75092-7377
US

V. Phone/Fax

Practice location:
  • Phone: 903-957-0082
  • Fax: 903-957-0351
Mailing address:
  • Phone: 903-957-0082
  • Fax: 903-957-0351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number34302
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: