DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROUSSEAU IOM LLC

Active Organization

ROUSSEAU IOM LLC is a 204R00000X organization located in FT WORTH, Texas. NPI 1265048458 is currently active in the NPPES registry. Verify at CMS.

204R00000X · FT WORTH, TX

Registration Details

NPI Number
1265048458
Provider Type
Organization
NPI Issued
Sep 22, 2020 (5.9239715086916 yrs)
Last Updated
Sep 22, 2020

Practice Information

Address
111 BOLAND ST STE 211
FT WORTH, TX, 761071265
Browse TX providers · Browse ZIP 76107
Phone
8175298488
Fax
9033286568
Primary Specialty
204R00000X
204R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.