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NPI Code Detail

MEDICARE: DR. JEFFREY ALLAN ROSS DPM MD

MEDICARE: DR. JEFFREY ALLAN ROSS DPM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist0697TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11201OTHERBOARD CERT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659395069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY ALLAN ROSS DPM MD
Provider Business Mailing Address
First Line : ONE BAYLOR PLAZA
Second Line : MS 390
City : HOUSTON
State : TX
Zip : 77030-2309
Country : US
Telephone Number : 713-798-7851
Fax Number : 713-798-8911
Provider Business Practice Location Address
First Line : 7200 CAMBRIDGE ST
Second Line : SUITE 6B
City : HOUSTON
State : TX
Zip : 77030-2309
Country : US
Telephone Number : 713-798-5700
Fax Number : 713-798-8460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/07/2023

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