Individual
MISTI ROUSE-MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
7324 SOUTHWEST FWY, HOUSTON, TX 77074-2012
(903) 752-5555
Mailing address
7324 SOUTHWEST FWY, HOUSTON, TX 77074-2012
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
618259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
618259
WORKMANS COMP TX
TX
Enumeration date
08/25/2010
Last updated
10/20/2020
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