MEDICARE: MAUREEN ROONEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WL0100X	Lactation Consultant (Registered Nurse)	619508	TX
2	364SP1700X	Perinatal Clinical Nurse Specialist	AP106820	TX

General Provider Information

NPI Number	:	1821543752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN ROONEY

Provider Business Mailing Address
First Line	:	6724 BROMPTON RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-3908
Country	:	US
Telephone Number	:	713-410-0051
Fax Number	:

Provider Business Practice Location Address
First Line	:	6724 BROMPTON RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-3908
Country	:	US
Telephone Number	:	713-410-0051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2016
Last Update Date	:	08/21/2016

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Directions to “ MAUREEN ROONEY ” Practice Location

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