Individual
MR. RUBEN BENJAMIN DELAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
Mailing address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA09626
TX
363AS0400X
Surgical Physician Assistant
Primary
PA09626
TX
Other
Enumeration date
01/13/2015
Last updated
02/15/2023
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