MEDICARE: DR. QINGMIN RUAN 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	2084P0800X	Psychiatry Physician	Q0353	TX

General Provider Information

NPI Number	:	1548586308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QINGMIN RUAN M.D.

Provider Business Mailing Address
First Line	:	1977 BUTLER BLVD # E4.400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4101
Country	:	US
Telephone Number	:	713-798-1750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 TAUB LOOP
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1608
Country	:	US
Telephone Number	:	713-873-4907
Fax Number	:	713-798-4693

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

Provider Enumeration Date	:	04/19/2010
Last Update Date	:	03/30/2026

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