Individual
ANDREA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5806 YORKWOOD ST, HOUSTON, TX 77016-2621
(832) 368-2728
Mailing address
5806 YORKWOOD ST, HOUSTON, TX 77016-2621
(832) 368-2728
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343456
—
TX
01
—
4456364
NONE
TX
Enumeration date
10/05/2022
Last updated
10/18/2022
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