Provider Demographics
NPI:1285821496
Name:R. ROSS FIRST ASSISTING INC.
Entity Type:Organization
Organization Name:R. ROSS FIRST ASSISTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS-RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA, CNOR
Authorized Official - Phone:214-728-0610
Mailing Address - Street 1:1030 SUFFOLK LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-4112
Mailing Address - Country:US
Mailing Address - Phone:214-728-0610
Mailing Address - Fax:
Practice Address - Street 1:1030 SUFFOLK LN
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-4112
Practice Address - Country:US
Practice Address - Phone:214-728-0610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX631327163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0057PVOtherBLUE CROSS BLUE SHIELD
TX8N8097OtherBLUE CROSS BLUE SHIELD