Individual
RONALD LEON GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 N SECTION ST, FAIRHOPE, AL 36532
(251) 990-3937
Mailing address
PO BOX 2020, FAIRHOPE, AL 36533-2020
(713) 376-7151
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G2976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134601702
—
TX
05
—
134601703
—
TX
05
—
134601704
—
TX
01
—
2316335
BLUE LINK
TX
01
—
82W286
BC/BS
TX
Enumeration date
09/09/2005
Last updated
06/11/2018
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