Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | G9525 | TX |
Y | 111NI0900X | Internist | G9525 | TX |
NPI | 1003035718 |
---|---|
Provider Name | Dr. Dennis Anthony Ruff |
First Address | San Antonio, TX 78209-1028 |
Second Address | San Antonio, TX 78209-1028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |