NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1720147762 |   |   |   | ROUSSEL CLEMENT MDPA | 6265 39TH ST | GROVES | TX | 776194614 |
1609474634 | CLEMENT | MERCEDES | LUDIVINA |   | 6265 39TH ST | GROVES | TX | 776194614 |
1417423153 | FENNER | TARA |   |   | 6265 39TH ST | GROVES | TX | 776194614 |