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1720427016
ROSS ELTIDGE HAIRGROVE
KYLE, TX
NPI
1720427016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: TX Q4760)
Enumeration Date
2013-06-19
Last Update Date
2021-06-07
Business Address
ROSS ELTIDGE HAIRGROVE MD
4100 EVERETT DR STE 400
KYLE, TX 78640-6147
Phone number: 512-295-1333
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Mailing Address
ROSS ELTIDGE HAIRGROVE MD
6210 E HWY 290
AUSTIN, TX 78723-1142
Phone number: 512-483-9596
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