Individual
RONALD LEON GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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