Individual
ALAN ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
146 E HOSPITAL DR, SUITE 205, ANGLETON, TX 77515-4169
(979) 848-3068
(979) 849-1423
Mailing address
146 E HOSPITAL DR, SUITE 205, ANGLETON, TX 77515-4169
(979) 848-3068
(979) 849-1423
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
224168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120029704
—
TX
01
—
430042026
UNSPECIFIED RAILROAD MEDICARE
TX
Enumeration date
06/29/2006
Last updated
07/01/2009
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