NPI 1104935030

Johnny Shane Ross, MD

Practitioner Physical Medicine & Rehabilitation Physician Temple, TX

Practice location

Address: 2401 S 31st St Bldg 35, Temple, TX 76508-4200
Phone: (254) 724-2111
Fax: (512) 263-4506
Mailing address: PO Box 844658, Dallas, TX 75284-4658

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence J6036 (TX)

Other Physical Medicine & Rehabilitation providers in Texas →

Registry record

NPI: 1104935030
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 23 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.