Individual
MODENA RUVALCABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1500 S MAIN ST FL 2, FORT WORTH, TX 76104-4917
(817) 702-3000
Mailing address
3501 N MACARTHUR BLVD, SUITE 500, IRVING, TX 75062-3651
(972) 256-3700
(866) 630-6348
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
751014
TX
Other
Enumeration date
12/14/2013
Last updated
11/18/2020
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