MEDICARE: RUZANNA ANNA MINASYAN

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	363LF0000X	Family Nurse Practitioner	1227543	TX

General Provider Information

NPI Number	:	1629921846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUZANNA ANNA MINASYAN

Provider Business Mailing Address
First Line	:	19104 ZAVALA CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-4410
Country	:	US
Telephone Number	:	818-808-7203
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 S CONGRESS AVE # 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-6413
Country	:	US
Telephone Number	:	512-641-2290
Fax Number	:

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

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ RUZANNA ANNA MINASYAN ” Practice Location

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