Ross, Samantha
Ross, Samantha is an individual health care provider with primary practice located at 1250 S A W Grimes Blvd , Round Rock TX 78664-7429. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ross, Samantha can be contacted via phone (512) 310-7665.Contact Information
Primary practice address
1250 S A W Grimes Blvd
Round Rock TX 78664-7429
Phone: (512) 310-7665
Fax: (512) 310-9228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 112037 | Texas |
Profile Details
| NPI number | 1174993448 |
|---|---|
| LBN Legal business name | Ross, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2015 |
| Last updated | Sep 30th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174993448 | NPPES |
| Texas | MEDICAID | 0944746-02 | |
| Texas | Other | 0031DG |
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