Individual
DR. RUTH REPOSA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
851 W TERRELL AVE, FORT WORTH, TX 76104-3161
(817) 926-4118
Mailing address
851 WEST TERRELL AVE, FORT WORTH, TX 76104-3161
(817) 926-4118
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M6462
TX
Other
Enumeration date
01/21/2008
Last updated
10/24/2008
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