Individual
NEIL DWAYNE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD26411
OR
207Y00000X
Otolaryngology Physician
Primary
Q1156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270839
—
OR
05
—
338778901 (MDACC)
—
TX
01
—
8ER500 (MDACC)
BCBS
TX
Enumeration date
08/03/2006
Last updated
11/12/2019
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