Organization
THOMAS ROSS
Active
Other names
Southwest Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ROSS AUDIOLOGIST (OWNER)
(662) 235-5685
Entity
Organization
Contact information
Practice address
605 POPLAR ST, TCHULA, MS 39169
(662) 235-5685
Mailing address
PO BOX 753, TCHULA, MS 39169-0753
(662) 235-5685
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A1198
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014870
—
MS
Enumeration date
12/24/2007
Last updated
12/24/2007
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