Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROSS ELTIDGE HAIRGROVE, MD
ActiveROSS ELTIDGE HAIRGROVE, MD is a Sports Medicine healthcare provider located in KYLE, Texas. NPI 1720427016 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · KYLE, TX
Registration Details
- NPI Number
- 1720427016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2013 (13.197520121682 yrs)
- Last Updated
- Jun 7, 2021
- License
-
Q4760 (TX)
Practice Information
- Address
-
4100 EVERETT DR STE 400KYLE, TX, 786406147Browse TX providers · Browse ZIP 78640
- Phone
- 5122951333
- Fax
- 5124067327
- Primary Specialty
-
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.