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ROUSSEL CLEMENT MD PA
NPI 1720147762
Internal Medicine in Groves, TX

Active since December 06, 2006CLIA 45D1057557 · Waiver
6265 39TH ST, GROVES, TX 77619(409) 962-4400(409) 962-4412 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 14, 2023, Feb 1, 2022 (2 updates tracked since 2022).

About Roussel Clement Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROUSSEL CLEMENT MD PA (NPI 1720147762) is a healthcare organization registered as an internal medicine in Groves, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 14, 2028, maintains a secondary practice location in Houston, and lists Roussel Clement, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1720147762
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameROUSSEL CLEMENT MD PA
Location Address6265 39TH STGroves, TX 77619-4614
Mailing Address6265 39th StGroves, TX 77619-4614 · (409) 962-4400 · Fax (409) 962-4412
Phone(409) 962-4400
Fax(409) 962-4412
Organization SubpartNo
Authorized OfficialRoussel ClementPractice Owner · (409) 626-2169
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1720147762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6265 39TH ST, Groves, TX 77619
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Secondary Practice Location 1

Location 111850 Bissonnet St Ste 2Houston, TX 77099-1991 · Phone (409) 962-4400

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1057557

Roussel Clement MD · Groves, TX
Active · expires Aug 14, 2028
CLIA Number45D1057557
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2026
Certificate Expiration DateAugust 14, 2028
Laboratory DirectorRoussel Clement, MD
Laboratory Phone(409) 962-4400
Laboratory LocationRoussel Clement MD6265 39th Street, Groves, TX 77619
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MY HIEN NGUYEN FNP
Nurse Practitioner (Family)
6265 39TH ST
GROVES, TX 77619
Jefferson County (409) 962-4400
TARA FENNER FNP-C
Nurse Practitioner (Family)
6265 39TH ST
GROVES, TX 77619
Jefferson County (409) 962-4400
MRS. MERCEDES LUDIVINA CLEMENT LPCI
Counselor (Mental Health)
6265 39TH ST
GROVES, TX 77619
Jefferson County (409) 962-4400
ROUSSEL CLEMENT MD
Internal Medicine
6265 39TH ST
GROVES, TX 77619
Jefferson County (409) 962-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roussel Clement MD PA's NPI number?

The NPI number for Roussel Clement MD PA is 1720147762. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Roussel Clement MD PA located?

Roussel Clement MD PA is located at 6265 39th St, Groves, TX 77619. The listed phone number is (409) 962-4400.

What is Roussel Clement MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Roussel Clement MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1057557) is associated with this NPI, valid through August 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roussel Clement MD PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Roussel Clement MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roussel Clement MD PA was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.