Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Victor L Ruffin , LSFA

Physician β€’ Fort Worth, TX

Deactivated NPI 1629108899 Deactivated in NPPES Male Practitioner
Practice location in NPPES

2912 Bourbon St
Fort Worth, TX 761231624

Phone: 8174231969

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of July 17, 2020; the reason is not published. The records below are historical. They do not show whether Victor Ruffin currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 06, 2007
NPI Deactivation Date July 17, 2020
NPI Active Period 2007 – 2020

Practice Location & Contact Primary Location

Practice Address

2912 Bourbon St

Fort Worth, TX 761231624

Telephone 8174231969
Fax 8173617954
Organization at the Same NPPES Address or Phone
Mid-Cities Surgical First Asst. Inc Facility NPI 1235335258

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Fort Worth and Texas

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Acute Care Hospital Primary Specialty

NUCC Taxonomy Code: 282N00000X

License # reported to NPPES TX SA00142

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated July 17, 2020

NPPES lists this NPI as deactivated as of July 17, 2020; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 2912 BOURBON ST, FORT WORTH, TX 761231624 (Tel: 8174231969)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at PO BOX 330605, FORT WORTH, TX 761630605 (Tel: 8174231969)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as VICTOR RUFFIN, LSFA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Acute Care Hospital (license number reported to NPPES: TX SA00142)

🟒
Initial NPI Registration & Enumeration March 06, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1629108899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2007
Last Update: July 08, 2007
Deactivation Date: July 17, 2020

Mailing Address

Po Box 330605

Fort Worth, TX 761630605

Phone: 8174231969

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.