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Individual

MR. ROSS W EASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1340 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6188
Mailing address
412 VENUS ST, MISSION, TX 78572-6303
(956) 682-4398

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/13/2007
Last updated
07/08/2007
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