Basic Information
| Provider Information | |||||||||
| NPI: | 1063478154 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CARRASCO | ||||||||
| FirstName: | RUY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7940 SHOAL CREEK BLVD STE 100 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787577589 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124944000 | ||||||||
| FaxNumber: | 5124944024 | ||||||||
| Practice Location | |||||||||
| Address1: | 5301 DAVIS LN STE 200A | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787494062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124944000 | ||||||||
| FaxNumber: | 5124944090 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2006 | ||||||||
| LastUpdateDate: | 06/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0216X | M1563 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Rheumatology |
No ID Information.