JOHNNY SHANE ROSS, M.D.
Physical Therapy at Medical Dr, Austin, TX

License number
Texas J6036
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Address
Address
2000 Medical Dr, Austin, TX 78734
Phone
(512) 263-4511
(512) 263-4506 (Fax)
(580) 585-0180
National Provider ID: 1104935030
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JOHNNY SHANE ROSS at bizstanding.com

JOHNNY SHANE ROSS, INC

2101 Headwater Ln, Austin, TX 78746

Registration:
Sep 23, 2014
State ID:
0802069608
Entity State:
OK
Agent:
Ginger R. Ross,1000 San Marcos #441, Austin, TX 78702 (Physical)
TIN:
32055229523

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