Individual
RUTH RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4104 JUNIUS ST, DALLAS, TX 75246-1427
(972) 707-7782
(800) 834-0522
Mailing address
1104 E HIDDEN LAKES DR, DESOTO, TX 75115-5876
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1181515
TX
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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