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NPI Code Detail

MEDICARE: MARIA LIZETTE RUIZ HARRIS D.O.

MEDICARE: MARIA LIZETTE RUIZ HARRIS D.O.
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
1208000000XPediatrics PhysicianN0083TX

General Provider Information

NPI Number : 1265663074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA LIZETTE RUIZ HARRIS D.O.
Provider Business Mailing Address
First Line : 222 W. LAS COLINAS BLVD
Second Line : SUITE 2000
City : IRVING
State : TX
Zip : 75039
Country : US
Telephone Number : 972-957-3000
Fax Number : 972-236-0096
Provider Business Practice Location Address
First Line : 8112 SPRING VALLEY RD
Second Line :
City : DALLAS
State : TX
Zip : 75240-3829
Country : US
Telephone Number : 214-884-1705
Fax Number : 214-884-1711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2009
Last Update Date : 02/18/2015

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