Individual
MARY KATHREN MOONEY ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6410 FANNIN ST STE 500, HOUSTON, TX 77030-3005
(832) 325-7111
Mailing address
6431 FANNIN STREET, MSB 3.151, HOUSTON, TX 77030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
U1122
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/03/2020
Last updated
04/07/2023
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