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Individual
ROSS ELTIDGE HAIRGROVE
Active
Individual
ROSS ELTIDGE HAIRGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
Q4760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348622703
—
TX
Enumeration date
06/19/2013
Last updated
06/07/2021
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