Provider Demographics
NPI:1770376972
Name:ROUX, DAVID ARTHUR III
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ARTHUR
Last Name:ROUX
Suffix:III
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7316 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-4837
Mailing Address - Country:US
Mailing Address - Phone:504-451-7710
Mailing Address - Fax:
Practice Address - Street 1:3810 W LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4600
Practice Address - Country:US
Practice Address - Phone:225-578-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer