# MARIO M GROSS, MD, PA

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

## Provider details

- **NPI number:** 1790705226
- **Authorized official:** DR. MARIO M GROSS MD (PRESIDENT)
- **Authorized official phone:** (432) 684-9500

## Contact information

- **Practice address:** 4400 N MIDLAND DR, SUITE 506, MIDLAND, TX 79707-3385
- **Practice address phone:** (432) 684-9500
- **Practice address fax:** (432) 684-9501
- **Mailing address:** PO BOX 5263, MIDLAND, TX 79704-5263
- **Mailing address phone:** (432) 684-9500
- **Mailing address fax:** (432) 684-9501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | K6569 | TX | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 08/22/2020