Carl Wendell Ross in Lake Charles - General Practice
Carl Wendell Ross - NPI 1295788370
Carl Wendell Ross is a General Practice in Lake Charles, Louisiana. Carl Wendell Ross practices all healthcare services and medical treatments related to General Practice. The NPI Number for Carl Wendell Ross is 1295788370. The last update date is 2007-07-08.
Carl Wendell Ross's current location address is 410 Louisiana Ave, Lake Charles, Louisiana. You can contact this provider via phone number 3374394923 and fax number 3374394410. The mailing address for Carl Wendell Ross is 410 Louisiana Ave, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Wendell Ross |
|---|---|
| Address | 410 Louisiana Ave, Lake Charles, Louisiana |
| Phone Number | 3374394923 |
| Fax Number | 3374394410 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295788370 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 410 Louisiana Ave |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706013230 |
| Phone Number | 3374394923 |
| Fax Number | 3374394410 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 04474R |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1314111 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Carl Wendell Ross by the Centers for Medicare & Medicaid Services?
The Carl Wendell Ross has been issued the NPI (National Provider Identifier) 1295788370. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Carl Wendell Ross?
The Carl Wendell Ross is situated at 410 Louisiana Ave, in the city of Lake Charles, state of LA, with the zip code 706013230.
What is the Carl Wendell Ross's area of specialization and corresponding taxonomy classification?
The Carl Wendell Ross's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Carl Wendell Ross receive the assignment of its 1295788370 from the Centers for Medicare & Medicaid Services?
The Carl Wendell Ross was issued its 1295788370 by the Centers for Medicare & Medicaid Services on 2006-05-18.
As of what date were the Carl Wendell Ross's details last updated?
The information pertaining to the Carl Wendell Ross, including its address, specialty, and other details, was most recently updated on 2007-07-08.