Individual
RUBI C VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4095
(682) 885-7499
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1062346
TX
363LA2100X
Acute Care Nurse Practitioner
AP1062346
TX
363LP0200X
Pediatric Nurse Practitioner
1062346
TX
Other
Enumeration date
09/15/2023
Last updated
04/09/2024
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