Provider Demographics
NPI:1386903854
Name:ROUK, ALINA J (MD)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:J
Last Name:ROUK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2010 E VILLA MARIA RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2582
Mailing Address - Country:US
Mailing Address - Phone:979-821-7373
Mailing Address - Fax:
Practice Address - Street 1:2010 E VILLA MARIA RD
Practice Address - Street 2:SUITE A
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2582
Practice Address - Country:US
Practice Address - Phone:979-821-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ06922083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine