| NPI | 1578694139 |
|---|---|
| Doing Business As | JOHNNY SHANE ROSS, M.D. |
| Entity Type | Organization |
| Authorized Contact | GINGER R ROSS Corporate Secretary 580-585-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J6036) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-02-25 |