Ross, John M
Ross, John M is an individual health care provider with primary practice located at 111 Medical Dr , Palestine TX 75801-4781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ross, John M can be contacted via phone (903) 723-6092.Contact Information
Primary practice address
111 Medical Dr
Palestine TX 75801-4781
Phone: (903) 723-6092
Fax: (903) 723-5149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J7169 | Texas |
Profile Details
| NPI number | 1508858663 |
|---|---|
| LBN Legal business name | Ross, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jun 14th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508858663 | NPPES |
| Texas | MEDICAID | 136405102 |
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