Individual
SELINA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.T.
Contact information
Practice address
1000 S RACE ST, EVERMAN, TX 76140-5216
(817) 568-5276
(817) 568-5278
Mailing address
7224 ROUTT ST, FORT WORTH, TX 76112-7238
(817) 475-1702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5508
TX
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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