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NPI Code Detail

MEDICARE: NORMA RUANO DDS

MEDICARE: NORMA RUANO DDS
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
1122300000XDentist14987TX
21223P0221XPediatric Dentistry14987TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F0063772OTHERTXDPS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
314987OTHERTXTX STATE BOARD OF DENTAL EXAMINERS LICENSE

General Provider Information

NPI Number : 1184725483
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMA RUANO DDS
Provider Business Mailing Address
First Line : PO BOX 1470
Second Line :
City : EAGLE PASS
State : TX
Zip : 78853-1470
Country : US
Telephone Number : 830-773-8917
Fax Number : 830-773-1892
Provider Business Practice Location Address
First Line : 2525 N VETERANS BLVD
Second Line :
City : EAGLE PASS
State : TX
Zip : 78852-3302
Country : US
Telephone Number : 830-773-4557
Fax Number : 830-773-0328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 03/07/2023

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Directions to “ NORMA RUANO DDS” Practice Location

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