Individual
MR. BYRON DEROUSELLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6222 W IH 10 STE 104, SAN ANTONIO, TX 78201-2013
(210) 447-0039
Mailing address
6222 W IH 10 STE 104, SAN ANTONIO, TX 78201-2013
(210) 447-0039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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