MEDICARE: ROSS FAMILY CLINICS, PLLC

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	111NR0400X	Rehabilitation Chiropractor

General Provider Information

NPI Number	:	1538930060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSS FAMILY CLINICS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 690885
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78269-0885
Country	:	US
Telephone Number	:	210-960-9000
Fax Number	:	210-702-3441

Provider Business Practice Location Address
First Line	:	6000 S CONGRESS AVE STE 106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-4295
Country	:	US
Telephone Number	:	210-960-9000
Fax Number	:	210-702-3441

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	YVETTE P FLORES
Credential	:
Telephone Number	:	210-655-2225

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/12/2024

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