Individual
DR. DENNIS L ROUSSEAU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./ PH.D.
Contact information
Practice address
8715 VILLAGE DR, SUITE 620, SAN ANTONIO, TX 78217-5405
(210) 946-1400
(210) 946-1616
Mailing address
8715 VILLAGE DR, SUITE 620, SAN ANTONIO, TX 78217-5405
(210) 946-1400
(210) 946-1616
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
L0554
TX
2086X0206X
Surgical Oncology Physician
ME 99358
FL
Other
Enumeration date
08/05/2006
Last updated
12/18/2012
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