Provider Demographics
NPI:1588356166
Name:CRUZ, DOVE ARIEL (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DOVE
Middle Name:ARIEL
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 NE INTERSTATE LOOP 410
Mailing Address - Street 2:SUITE 375
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217
Mailing Address - Country:US
Mailing Address - Phone:210-634-1232
Mailing Address - Fax:
Practice Address - Street 1:2130 NE INTERSTATE LOOP 410
Practice Address - Street 2:SUITE 375
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217
Practice Address - Country:US
Practice Address - Phone:210-634-1232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1119119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily