MEDICARE: DR. ELENA RUIZ M.D.

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
1	208000000X	Pediatrics Physician	M0547	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M0547	OTHER	TX	STATE LICENSE
2	74-2579783	OTHER	TX	TAX ID #
3	10138495D	OTHER	TX	TX- DPS

General Provider Information

NPI Number	:	1356352637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELENA RUIZ M.D.

Provider Business Mailing Address
First Line	:	1301 S CAPITAL OF TEXAS HWY
Second Line	:	BUILDING A STE 230
City	:	AUSTIN
State	:	TX
Zip	:	78746
Country	:	US
Telephone Number	:	512-328-7666
Fax Number	:	512-276-2939

Provider Business Practice Location Address
First Line	:	1301 S CAPITAL OF TEXAS HWY
Second Line	:	BUILDING A STE 230
City	:	AUSTIN
State	:	TX
Zip	:	78746
Country	:	US
Telephone Number	:	512-328-7666
Fax Number	:	512-276-2939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	03/24/2026

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Directions to “ DR. ELENA RUIZ M.D.” Practice Location

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