Provider Demographics
NPI:1710606033
Name:ROUSE, FELIX (REGISTERED NURSE)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:
Last Name:ROUSE
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6911 PLUM CREEK TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-2567
Mailing Address - Country:US
Mailing Address - Phone:832-778-3136
Mailing Address - Fax:
Practice Address - Street 1:6911 PLUM CREEK TRAIL LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2567
Practice Address - Country:US
Practice Address - Phone:832-778-3136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX850841163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty