# MICHAEL B GROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447207493
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | H8091 | TX | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 01/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 118934201 | — | TX |
| 05 | — | 118934202 | — | TX |
| 01 | — | 340016189 | RRMCR | TX |
| 01 | — | 340016194 | RRMCR OTHER | TX |
| 01 | — | 80403X | BCBS PROVIDER ID | — |