Individual
DEBORAH ROUCLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-0111
Mailing address
4835 LBJ FWY STE 900, DALLAS, TX 75244-6001
(469) 420-5544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903664
TX
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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