Ross, Michael

Ross, Michael is an individual health care provider with primary practice located at 3502 Knickerbocker Rd , San Angelo TX 76904-7671. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ross, Michael can be contacted via phone (325) 942-8611.

Contact Information

Primary practice address
3502 Knickerbocker Rd San Angelo TX 76904-7671
Phone: (325) 942-8611
Fax: (325) 659-0180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04079 Texas

Profile Details

NPI number 1396853396
LBN Legal business name Ross, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jun 25th, 2013 - about 11 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 1396853396 NPPES
Texas MEDICAID 189528605
Texas MEDICAID 189528607
Texas MEDICAID 189528606
Texas MEDICAID 189528608

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