Mr. Wildon Mellinger Rouse III
Mr. Wildon Mellinger Rouse III is a Physician Assistant in LA Grange, Texas. Qualified in 1999, 27 years ago. Practices with McBroom Clinic PA, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.
- Years since qualifying
- 27
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
1253 N Von Minden StLA Grange, TX 78945-1262
Phone: (979) 968-8493
Fax: (979) 968-6388
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA02598 (TX) |
|---|
Record details
| NPI number | 1003873845 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 26, 2006 |
| Last updated in NPPES | December 4, 2013 |
| Mailing address | 1253 N Von Minden St, La Grange, TX 78945-1262 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | McBroom Clinic Pa — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in LA Grange
-
Jennifer J Emmel, PA-C
1253 N Von Minden St, LA Grange, TX 78945-1262 · (979) 968-8493
-
Mrs. Chelsea L Jecmenek, PA
1253 N Von Minden St, LA Grange, TX 78945-1262 · (979) 968-8493
-
Mrs. Hanna Florence Pilat, PA-C
1253 N Von Minden St, LA Grange, TX 78945-1262 · (979) 968-8493