Individual
MRS. HEATHER TAYLOR ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5918 SILTSTONE LN, APT 616, FORT WORTH, TX 76137-8003
(318) 548-3483
Mailing address
5918 SILTSTONE LN, APT 616, FORT WORTH, TX 76137-8003
(318) 548-3483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
853589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B1038
MEDICARE
TX
01
—
8MQ124
BCBS
TX
01
—
P02469547
MEDICARE RAIL ROAD
TX
Enumeration date
05/06/2015
Last updated
07/13/2020
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