Hairgrove, Ross Eltidge

Hairgrove, Ross Eltidge is an individual health care provider with primary practice located at 4100 Everett Dr Ste 400 , Kyle TX 78640-6147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Hairgrove, Ross Eltidge can be contacted via phone (512) 295-1333.

Contact Information

Primary practice address
4100 Everett Dr Ste 400 Kyle TX 78640-6147
Phone: (512) 295-1333
Fax: (512) 406-7327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X Q4760 Texas

Profile Details

NPI number 1720427016
LBN Legal business name Hairgrove, Ross Eltidge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2013
Last updated Jun 7th, 2021 - about 3 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 1720427016 NPPES
Texas MEDICAID 348622703

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