Constance Roubique

NPI 1861789323 · on the registry since 2011 · sole proprietor

Practice

Address: 4268 Legacy Dr
Wal-Mart 5986
Frisco, TX 75034
Phone: (972) 624-6002
Organisation at this address: Albertsons Llc
United Supermarkets Llc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-10-30

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