Gross, Michael B

Gross, Michael B is an individual health care provider with primary practice located at 6124 W Parker Rd Suite 434, Plano TX 75093-8122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gross, Michael B can be contacted via phone (214) 691-1902.

Contact Information

Primary practice address
6124 W Parker Rd Suite 434 Plano TX 75093-8122
Fax: (214) 987-1845
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X H8091 Texas

Profile Details

NPI number 1447207493
LBN Legal business name Gross, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jan 31st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447207493 NPPES
Other 80403X BCBS PROVIDER ID
MEDICAID 118934202 BCBS PROVIDER ID
Other 340016189 BCBS PROVIDER ID
Other 340016194 BCBS PROVIDER ID
MEDICAID 118934201 BCBS PROVIDER ID

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