Search › Texas › 363LF0000X
Khadeja Ross
NPI 1639645112 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1032 Valley Brook Ln
Grand Prairie, TX 75052 - Phone
- (443) 366-2683
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas