Individual
ERIC M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 TRAWOOD DR STE 304, EL PASO, TX 79936-4122
(915) 591-8400
(915) 591-8401
Mailing address
2400 TRAWOOD DR STE 304, EL PASO, TX 79936-4122
(915) 591-8400
(915) 591-8401
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
6053
SD
207YS0123X
Facial Plastic Surgery Physician
A60281
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
N2537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4993122
WELLMARK
SD
01
—
6053
DAKOTACARE
SD
05
—
6520500
—
SD
01
—
P00439542
RR MEDICARE
SD
Enumeration date
02/17/2006
Last updated
02/12/2024
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