Individual
EVAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E 15TH ST, AUSTIN, TX 78701-1930
(512) 324-7392
Mailing address
601 E 15TH ST, AUSTIN, TX 78701-1930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10050022
TX
Other
Enumeration date
04/24/2014
Last updated
05/19/2014
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