Roussel Clement MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROUSSEL CLEMENT MD PA

Practice address

6265 39TH St
Groves, TX 77619-4614

Phone

(409) 962-4400

Fax

(409) 962-4412

NPI assigned

Dec 6, 2006

Last updated

Jul 21, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roussel Clement, MDNPI 1710977913

Title

Practice Owner

Phone

(409) 626-2169

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roussel Clement, MD

  • Internal Medicine Physician
  • Groves, TX
  • NPI 1710977913
  Medicare reassignment Care Compare group Authorized official
• Tara Fenner, FNP-C

  • Family Nurse Practitioner
  • Groves, TX
  • NPI 1417423153
  Medicare reassignment Care Compare group
• My Hien Nguyen, FNP

  • Family Nurse Practitioner
  • Groves, TX
  • NPI 1043858798
  Medicare reassignment NPD
• Ashley Walters, NP

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1104231513
  Medicare reassignment NPD
• Mercedes Ludivina Clement, LPCI

  • Mental Health Counselor
  • Groves, TX
  • NPI 1609474634
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1720147762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194614",
            "telephone_number": "409-962-4400",
            "fax_number": "409-962-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194614",
            "telephone_number": "409-962-4400",
            "fax_number": "409-962-4412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11850 Bissonnet St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770991991",
            "country_code": "US",
            "telephone_number": "409-962-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROUSSEL CLEMENT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "ROUSSEL",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "409-626-2169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lemuel Relford
• Renaissance Hospitals Inc
• Renaissance Hospitals Inc (Renaissance Hospital Groves)
• Latrissa Rideaux, PHARM D
• Ronald a. Weintraub, MD PA
• Russell N. McDonald
• Ted Sako, DDS
• Scott Warren Marks (Community Counseling Center)
• Brittany Segura, MS CCC-SLP
• Selman Group

• Internal Medicine Physician in Groves, TX
• Providers in Groves, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.