Individual
MITCHELL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LANE, DALLAS, TX 75230
(480) 889-4017
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 576-4145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V8750
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
07/29/2025
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