Moulder, Ross

Moulder, Ross is an individual health care provider with primary practice located at 3301 N Goliad St Ste 109 , Rockwall TX 75087-7194. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Moulder, Ross can be contacted via phone (972) 430-9977.

Contact Information

Primary practice address
3301 N Goliad St Ste 109 Rockwall TX 75087-7194
Phone: (972) 430-9977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9789 Texas

Profile Details

NPI number 1992366348
LBN Legal business name Moulder, Ross
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Jun 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992366348 NPPES
Texas Other 9789 STATE LICENSE

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