Individual
JERRY D ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13414 MEDICAL COMPLEX DR, STE. 13, TOMBALL, TX 77375-6470
(281) 351-8229
Mailing address
13414 MEDICAL COMPLEX DR, STE. 13, TOMBALL, TX 77375-6470
(281) 351-8229
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G0034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033572101
—
TX
Enumeration date
06/14/2006
Last updated
07/16/2007
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