Provider Demographics
NPI:1689966491
Name:H.D. ROSS MD MEDICAL CLINIC INC
Entity Type:Organization
Organization Name:H.D. ROSS MD MEDICAL CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RADIK
Authorized Official - Middle Name:
Authorized Official - Last Name:BATALOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-297-4274
Mailing Address - Street 1:9896 BISSONNET ST STE 124
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8151
Mailing Address - Country:US
Mailing Address - Phone:832-297-4274
Mailing Address - Fax:
Practice Address - Street 1:9896 BISSONNET ST STE 124
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8151
Practice Address - Country:US
Practice Address - Phone:832-297-4274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty