Individual
HEATHER CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 824-5497
(832) 825-5424
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 824-5497
(832) 825-5424
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M2593
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
M2593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177922502
—
TX
Enumeration date
10/17/2006
Last updated
04/29/2011
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