Individual
JULIO ALBERTO RUEDA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5012 ELGIN ST, FORT WORTH, TX 76105
(214) 859-2519
Mailing address
5012 ELGIN ST, FORT WORTH, TX 76105
(214) 859-2519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1019341
TX
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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