MEDICARE: ROBERT DAVID GROSS MBA, 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
1	207W00000X	Ophthalmology Physician	F4025	TX
2	207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician	F4025	TX

General Provider Information

NPI Number	:	1316944234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DAVID GROSS MBA, MD

Provider Business Mailing Address
First Line	:	5904 CHAPEL HILL BLVD STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5913
Country	:	US
Telephone Number	:	972-750-4950
Fax Number	:	972-750-4968

Provider Business Practice Location Address
First Line	:	5904 CHAPEL HILL BLVD STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5913
Country	:	US
Telephone Number	:	972-750-4950
Fax Number	:	972-750-4968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/21/2026

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