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NPI Code Detail

MEDICARE: EMILIE ROUAH M.D.

MEDICARE: EMILIE ROUAH M.D.
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
1207ZN0500XNeuropathology PhysicianF7374TX
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianF7374TX

General Provider Information

NPI Number : 1073518338
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIE ROUAH M.D.
Provider Business Mailing Address
First Line : PO BOX 4677
Second Line :
City : HOUSTON
State : TX
Zip : 77210-4677
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 504 MEDICAL CENTER BLVD
Second Line :
City : CONROE
State : TX
Zip : 77304-2808
Country : US
Telephone Number : 713-481-3544
Fax Number : 713-432-0221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 03/19/2009

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Directions to “ EMILIE ROUAH M.D.” Practice Location

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