Individual
CAROL L ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9030 MARKVILLE DR APT 3436, DALLAS, TX 75243-3598
(214) 515-2939
Mailing address
9030 MARKVILLE DR APT 3436, DALLAS, TX 75243-3598
(214) 515-2939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
932393
TX
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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