Ray A Rougeaux
Secured Medical Transport (VAN) in Balch Springs, TX. Individual provider (NPI-1).
NPI number1780304915
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1780304915
- Entity type
- Individual (NPI-1)
- Name
- Ray A Rougeaux
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2022
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343800000X | Secured Medical Transport (VAN) | – | – | Yes |
| 171W00000X | Contractor | 13045227 | TX |
Practice location
12704 Bruce DrBalch Springs, TX 75180-5301
Phone 469-774-7483
Mailing address
12704 Bruce DrBalch Springs, TX 75180-5301
Phone 469-774-7483
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