Provider Demographics
NPI:1376824508
Name:ROSS ENTERPRISES
Entity Type:Organization
Organization Name:ROSS ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-594-0020
Mailing Address - Street 1:3653 BRIARGROVE LN APT 1514
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6168
Mailing Address - Country:US
Mailing Address - Phone:502-594-0020
Mailing Address - Fax:
Practice Address - Street 1:3653 BRIARGROVE LN APT 1514
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-6168
Practice Address - Country:US
Practice Address - Phone:800-578-0347
Practice Address - Fax:866-502-2998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty