Individual
RUTH ROZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W MOCKINGBIRD LN STE 1400, DALLAS, TX 75247-5014
(469) 619-0509
Mailing address
18911 PLATTE RIVER WAY, DALLAS, TX 75287-2018
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1004468
TX
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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