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Wildon Rouse
NPI 1003873845 · on the registry since 2006
Practice
- Address
- 1253 N Von Minden St
La Grange, TX 78945 - Phone
- (979) 968-8493
- Fax
- (979) 968-6388
- Organisation at this address
- Lguc Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas