CALIXTO J RUIBAL MD PA NPI 1518012558

NPI Information

NPI: 1518012558
Provider Name: CALIXTO J RUIBAL MD PA

Doing Business As: LAWNDALE MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
7109 LAWNDALE ST
SUITE B
HOUSTON, TX
ZIP 77023
Phone: (832) 200-1646
Get Directions

CALIXTO J RUIBAL MD PA is a family medicine in Houston, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CALIXTO J RUIBAL MD PA NPI is 1518012558. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lawndale Medical Clinic.

The provider's business location address is:

7109 LAWNDALE ST
SUITE B
HOUSTON, TX
ZIP 77023-248
Phone: (832) 200-1646
Fax: (832) 200-1660

The provider's authorized official is Calixto Jorge Ruibal .
The authorized official title is Medical Director and has the following contact phone number (832) 200-1646.

The CLIA number assigned to this NPI record is 45D0490333 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 1/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		J9368	TEXAS	No
2	207Q00000X	Family Medicine		H0743	TEXAS	No
3	207R00000X	Internal Medicine		K1780	TEXAS	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	E6843	TEXAS	No
5	207RG0100X	Internal Medicine	Gastroenterology	E9383	TEXAS	No
6	207VG0400X	Obstetrics & Gynecology	Gynecology	E3766	TEXAS	No
7	208000000X	Pediatrics		K6707	TEXAS	No
8	208600000X	Surgery		G7822	TEXAS	No
9	208800000X	Urology		L8425	TEXAS	No
10	261Q00000X	Clinic/Center		G0921	TEXAS	No
11	207Q00000X	Family Medicine		G0921	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	085095001	MEDICAID	TEXAS
2	00SW30	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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