Provider Demographics
NPI:1689645368
Name:MCHOSE, RONALD RAY (DO)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:RAY
Last Name:MCHOSE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1290 WONDER WORLD DR STE 1100
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7969
Mailing Address - Country:US
Mailing Address - Phone:512-393-3325
Mailing Address - Fax:512-393-5332
Practice Address - Street 1:1290 WONDER WORLD DR STE 1100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7969
Practice Address - Country:US
Practice Address - Phone:512-393-3325
Practice Address - Fax:512-393-3328
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2023-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA01933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAA02579Medicare UPIN
IA163878Medicare Oscar/Certification