# DEROSS PROVIDER SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174798458
- **Authorized official:** MS. ROSELINE A GREEN RN, BSN, MBA (ADMINISTRATOR)
- **Authorized official phone:** (713) 783-2440

## Contact information

- **Practice address:** 9950 WESTPARK DR, STE 101, HOUSTON, TX 77063-5138
- **Practice address phone:** (713) 783-2440
- **Practice address fax:** (713) 783-2460
- **Mailing address:** 9950 WESTPARK DR, STE 101, HOUSTON, TX 77063-5138
- **Mailing address phone:** (713) 783-2440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | TX | Yes |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 04/16/2010