Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | P6713 | TX |
N | 207VX0000X | Obstetrician | P6713 | TX |
NPI | 1407104607 |
---|---|
Provider Name | Dr. Rebekah Mary Ross |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77026-1967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2012 |
Last Update Date | 19/06/2013 |