Provider Demographics
NPI:1245209816
Name:DOSS, RONALD MACK JR (DC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:MACK
Last Name:DOSS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4003 RUSTIC WOODS DR
Mailing Address - Street 2:SUITE - D
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2612
Mailing Address - Country:US
Mailing Address - Phone:281-446-2225
Mailing Address - Fax:281-361-3880
Practice Address - Street 1:4003 RUSTIC WOODS DR
Practice Address - Street 2:SUITE - D
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2612
Practice Address - Country:US
Practice Address - Phone:281-446-2225
Practice Address - Fax:281-361-3880
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K0510OtherBLUE CROSS / BLUE SHIELD
TX8K0510OtherBLUE CROSS / BLUE SHIELD