Organization
R. ROSS FIRST ASSISTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENAE ROSS-RUSSELL RNFA, CNOR (PRESIDENT)
(214) 728-0610
Entity
Organization
Contact information
Practice address
1030 SUFFOLK LN, CEDAR HILL, TX 75104-4112
(214) 728-0610
Mailing address
1030 SUFFOLK LN, CEDAR HILL, TX 75104-4112
(214) 728-0610
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
631327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057PV
BLUE CROSS BLUE SHIELD
TX
01
—
8N8097
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/02/2007
Last updated
10/02/2007
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