Cruz, C Ivan E

Cruz, C Ivan E is an sole proprietor health care provider with primary practice located at 2975 E Broad St Ste 200 , Mansfield TX 76063-9186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cruz, C Ivan E can be contacted via phone (682) 518-8619.

Contact Information

Primary practice address
2975 E Broad St Ste 200 Mansfield TX 76063-9186
Fax: (682) 518-8195
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X S2273 Texas

Profile Details

NPI number 1134547979
LBN Legal business name Cruz, C Ivan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2014
Last updated Sep 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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