Healthcare Provider Details

I. General information

NPI: 1821096603
Provider Name (Legal Business Name): FRANCES RENEE ROSS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 S PINE ST STE C
CABOT AR
72023-3863
US

IV. Provider business mailing address

8335 WHITE DR
CORD AR
72524-9636
US

V. Phone/Fax

Practice location:
  • Phone: 501-628-8642
  • Fax:
Mailing address:
  • Phone: 870-307-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberC7952
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberC7952
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: