Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME96333 | FL |
Y | 208000000X | Pediatrician | P2919 | TX |
N | 2080A0000X | Adolescent Medicine | 250317 | NY |
NPI | 1104923374 |
---|---|
Provider Name | Virginia L Ruas |
First Address | Dallas, TX 75373-3784 |
Second Address | Fort Worth, TX 76105-4750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 12/04/2021 |