Individual
MR. RONALD WARREN ROUDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC RETIRED ,LAT
Contact information
Practice address
1403 PEGGY LN, KENNEDALE, TX 76060-5832
(817) 478-3939
Mailing address
1403 PEGGY LN, KENNEDALE, TX 76060-5832
(817) 478-3939
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
AT 0208
TX
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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