MEDICARE: PATRICIA RUFFIER

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	332B00000X	Durable Medical Equipment & Medical Supplies	0095098	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376762450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICIA RUFFIER

Provider Business Mailing Address
First Line	:	10662 VISTA DEL SOL DR STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-4520
Country	:	US
Telephone Number	:	915-855-8858
Fax Number	:	915-855-8058

Provider Business Practice Location Address
First Line	:	10662 VISTA DEL SOL DR STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-4520
Country	:	US
Telephone Number	:	915-855-8858
Fax Number	:	915-855-8058

Authorized Official
Title or Position	:	OWNER
Name	:	MISS PATRICIA ANDREA RUFFIER
Credential	:
Telephone Number	:	915-855-8858

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	11/01/2021

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Directions to “PATRICIA RUFFIER ” Practice Location

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