MANOR FAMILY PRACTICE, PLLC
Ambulatory Health at Shadow Glen Blvd, Webberville, TX

License number
Texas N0419
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. MARILYN RUIZ M.D.
Title: MEMBER
Phone: (512) 535-4787
Address
Address
14001 Shadow Glen Blvd SUITE G, Webberville, TX 78653
National Provider ID: 1154761559
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MANOR FAMILY PRACTICE, PLLC

Webberville, TX

Industry:
Medical Doctor's Office
Registration:
Apr 8, 2013
Phone:
(512) 272-4451 (Phone)
Addresses:
14001 Shadow Gln Blvd STE G, Manor, TX 78653 (Mailing)
13612 Gln Crk Ct, Webberville, TX 78653
State ID:
0801763353
Business type:
Domestic Limited Liability Company (LLC)
Sole Membe, Director, Sole Member:
Marilyn Ruiz (Sole Membe, Director, Sole Member), 13612 Gln Crk Ct, Manor, TX 78653
Agent:
United States Corporation Agents, Inc,9900 Spectrum Dr, Austin, TX 78717 (Physical)
TIN:
32050656837
Categories:
Physicians & Surgeons

Ambulatory Health licenses in Texas

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