ROUSSEAU IOM LLC

FT WORTH, TX
NPI1265048458
Entity TypeOrganization
Authorized ContactGINA SULLIVAN
Practice Administrator
903-259-0550
Organization Subpart ?No
Primary Taxonomy204R00000X Electrodiagnostic Medicine
Enumeration Date2020-09-22
Last Update Date2020-09-22
Business Address
ROUSSEAU IOM LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
Mailing Address
ROUSSEAU IOM LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
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