MEDICARE: THE RUIZ GROUP, LLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1922573609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE RUIZ GROUP, LLC

Provider Business Mailing Address
First Line	:	7416 RUSTON LN
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-5701
Country	:	US
Telephone Number	:	214-534-1651
Fax Number	:

Provider Business Practice Location Address
First Line	:	2914 VALLEY VIEW LN
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-4929
Country	:	US
Telephone Number	:	214-534-1651
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DAVID R RUIZ-BELLO
Credential	:	MD
Telephone Number	:	214-534-1651

Provider Enumeration Date	:	10/09/2018
Last Update Date	:	10/09/2018

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Directions to “THE RUIZ GROUP, LLC ” Practice Location

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