Individual
DANIEL R ROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
902 FM 150 WEST (REBEL RD), KYLE, TX 78640
(512) 268-2091
Mailing address
PO BOX 1018, 902 REBEL RD., KYLE, TX 78640-1018
(512) 268-2091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0920
TX
Other
Enumeration date
11/22/2005
Last updated
10/25/2007
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