Theresa J Ross is a General Practice in Monroe, Louisiana. Theresa J Ross practices all healthcare services and medical treatments related to General Practice. The NPI Number for Theresa J Ross is 1528072188. The last update date is 2019-06-12.
Theresa J Ross's current location address is 130 Desiard St, Monroe, Louisiana. You can contact this provider via phone number 3188077875 and fax number 3188126603. The mailing address for Theresa J Ross is 130 Desiard St, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa J Ross |
|---|---|
| Address | 130 Desiard St, Monroe, Louisiana |
| Phone Number | 3188077875 |
| Fax Number | 3188126603 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528072188 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2019-06-12 |
Provider Mailing Address Detail
| Address | 130 Desiard St |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712017319 |
| Phone Number | 3188077875 |
| Fax Number | 3188126603 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 17867 |
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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 |
|---|---|---|---|
| 1342106 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Theresa J Ross by the Centers for Medicare & Medicaid Services?
The Theresa J Ross has been assigned the NPI (National Provider Identifier) 1528072188. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Theresa J Ross is physically located?
The Theresa J Ross is physically situated at the following address: 130 Desiard St, Monroe, LA, 712017319.
What is Theresa J Ross's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theresa J Ross is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528072188 to Theresa J Ross?
The Centers for Medicare & Medicaid Services assigned the 1528072188 to Theresa J Ross on 2006-07-28.
As of what date were the details related to Theresa J Ross most recently updated or revised?
The information pertaining to Theresa J Ross, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-12.