Individual
EVE ROUSSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 SOUTH MAIN, FORT WORTH, TX 76104
(817) 321-4800
(817) 321-4818
Mailing address
1101 SOUTH MAIN, FORT WORTH, TX 76104
(817) 321-4800
(817) 321-4818
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
605119
TX
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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