Individual
CECIL ROUSSEAU JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3435 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1751
(361) 855-7346
(361) 853-9534
Mailing address
3435 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1751
(361) 855-7346
(361) 853-9534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
670256
TX
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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