Individual
PETER WELLS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 634-8800
(936) 634-8836
Mailing address
208 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 634-8800
(936) 634-8836
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
4926
AK
207X00000X
Orthopaedic Surgery Physician
Primary
Q2944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 4926
—
AK
05
—
MD4926
—
AK
Enumeration date
06/15/2005
Last updated
03/07/2023
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