Individual
ROSAURA BARRUETARAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13915 BURNETT RD, STE 303, AUSTIN, TX 78728
(512) 996-9559
Mailing address
296 LEGEND OAKS DR, DALE, TX 78616-2301
(512) 826-7958
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
NON
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NON
NON
—
01
—
NONE
NONE
TX
Enumeration date
06/19/2018
Last updated
06/19/2018
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