Individual
MR. ROSS KENNETH WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC, ACNP-BC
Contact information
Practice address
6565 FANNIN ST, MGJ 11-002, HOUSTON, TX 77030-2703
(713) 441-4515
(713) 441-4427
Mailing address
11226 HILLSIDE GLEN TRL, HOUSTON, TX 77065-5024
(832) 668-4240
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
549721
TX
363LF0000X
Family Nurse Practitioner
549721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152579204
—
TX
Enumeration date
05/01/2006
Last updated
11/03/2013
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