Individual
DR. JASON N GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5337 MILLER AVE, DALLAS, TX 75206-6422
(716) 352-0802
Mailing address
5225 MORNING SUN RD STE C, OXFORD, OH 45056-8929
(716) 352-0802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
12171
TX
111N00000X
Chiropractor
Primary
DC-05195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C11371-4W
WORKERS COMPENSATION
NC
Enumeration date
05/07/2007
Last updated
11/10/2022
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