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NPI Code Detail

MEDICARE: MRS. CATHERINE MARIE RUIZ LCSW

MEDICARE: MRS. CATHERINE MARIE RUIZ LCSW
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
11041C0700XClinical Social Worker104876TX

General Provider Information

NPI Number : 1326555830
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE MARIE RUIZ LCSW
Provider Business Mailing Address
First Line : 1300 ELDORADO PKWY APT 1413
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-8003
Country : US
Telephone Number : 305-790-2546
Fax Number :
Provider Business Practice Location Address
First Line : 5220 SPRING VALLEY RD STE 610
Second Line :
City : DALLAS
State : TX
Zip : 75254-3059
Country : US
Telephone Number : 972-953-9895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 07/11/2023

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