Individual
DEASYA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CITYWEST BLVD APT 142, HOUSTON, TX 77042-3154
(504) 494-6787
Mailing address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
961045
TX
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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