Provider Demographics
NPI:1225807530
Name:PREMIER OB-GYN OF TEXAS LLC
Entity type:Organization
Organization Name:PREMIER OB-GYN OF TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-440-4149
Mailing Address - Street 1:4458 MEDICAL DR STE 450
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3700
Mailing Address - Country:US
Mailing Address - Phone:210-440-4149
Mailing Address - Fax:210-615-1236
Practice Address - Street 1:4458 MEDICAL DR STE 450
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3700
Practice Address - Country:US
Practice Address - Phone:210-440-4149
Practice Address - Fax:210-615-1236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty