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Individual

HAYDEN RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
19965 FM 3175, LYTLE, TX 78052-3481
(210) 357-0335
Mailing address
PO BOX 2603, FORT WORTH, TX 76113-2603

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1178720
TX

Other

Enumeration date
10/12/2021
Last updated
10/23/2024
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