Organization
RUTH R. WILEY, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH REPOSA WILEY D.O. (D.O., P.A.)
(817) 926-4118
Entity
Organization
Contact information
Practice address
851 W TERRELL AVE, FORT WORTH, TX 76104-3161
(817) 926-4118
(817) 926-4362
Mailing address
851 WEST TERRELL AVENUE, FORT WORTH, TX 76104-3161
(817) 926-4118
(817) 926-4362
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M6462
TX
Other
Enumeration date
11/20/2008
Last updated
03/11/2009
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