Individual
ANN MARIE ROUSH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
314 S PARK BLVD, GRAPEVINE, TX 76051-7835
(817) 488-4893
(817) 488-5939
Mailing address
PO BOX 93389, SOUTHLAKE, TX 76092-0113
(817) 416-4371
(817) 488-5939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6026T
TX
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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