Individual
CHARLIE P ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2911 MEDICAL ARTS ST, BLDG 2 ATTN: AUSTIN SURGICAL CLINIC ASSN, AUSTIN, TX 78705-3376
(512) 478-3402
(512) 478-7114
Mailing address
2911 MEDICAL ARTS ST, BLDG 2 ATTN: AUSTIN SURGICAL CLINIC ASSN, AUSTIN, TX 78705-3376
(512) 478-3402
(512) 478-7114
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D4289
TX
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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