# RUTH R. WILEY, D.O., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134374960
- **Authorized official:** DR. RUTH REPOSA WILEY D.O. (D.O., P.A.)
- **Authorized official phone:** (817) 926-4118

## Contact information

- **Practice address:** 851 W TERRELL AVE, FORT WORTH, TX 76104-3161
- **Practice address phone:** (817) 926-4118
- **Practice address fax:** (817) 926-4362
- **Mailing address:** 851 WEST TERRELL AVENUE, FORT WORTH, TX 76104-3161
- **Mailing address phone:** (817) 926-4118
- **Mailing address fax:** (817) 926-4362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | M6462 | TX | Yes |

## Other

- **Enumeration date:** 11/20/2008
- **Last updated:** 03/11/2009