Individual
KENNETH RUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 S ADAMS ST STE 102, FORT WORTH, TX 76104-2151
(817) 878-2834
Mailing address
1605 NE 37TH ST, FORT WORTH, TX 76106-3955
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
20314433
TX
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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