Jae L. Ross M.A.

NPI 1063708188 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1063708188
Gender Male
Enumeration Date 06/27/2011
Last Updated 09/24/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
2401 S 31ST ST
DEPARTMENT OF PSYCHIATRY
TEMPLE TX, 76508-0001, US
Phone (254) 724-2585
Fax
Business Location
2401 S 31ST ST
DEPARTMENT OF PSYCHIATRY
TEMPLE TX, 76508-0001, US
Phone (254) 724-2585
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Jae L. Ross M.A. NPI is 1063708188, taxonomy code is 390200000X Jae L. Ross M.A. physically located at 2401 S 31st St, Temple TX, 76508-0001. NPI Number Jae L. Ross M.A. has the Individual type.

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1063708188 NPI number is provided on an as is basis without warranty of any kind. 1063708188 is maintained by the National Plan & Provider Enumeration System. The contents of Jae L. Ross M.A. are for informational purposes only.