Individual
MACY ROUGEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19770 CLAY RD, KATY, TX 77449-6473
(337) 342-0890
Mailing address
19770 CLAY RD, KATY, TX 77449-6473
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QH0700X
—
TX
Enumeration date
06/03/2021
Last updated
08/16/2021
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