ROSS TERADA


Address: 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644
Phone: 8177352000

ROSS TERADA (NPI# 1114580792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114580792
Entity Type Individual
Full Name ROSS TERADA
Practice Address 3500 Camp Bowie Blvd
Fort Worth
TX 76107-2644
Practice Telephone 8177352000
Enumeration Date 2019-04-18
Last Update Date 2019-04-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program TX Student, Health Care

Office Location

Street Address 3500 CAMP BOWIE BLVD
City FORT WORTH
State TX
Zip Code 76107-2644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568460202 Lawrence J Cohen Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2005-07-07
1033716287 Lara Lai Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2020-10-01
1659907517 Marian Gaviola Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2020-03-22
1184266876 Ashlyn Aguiniga Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2019-10-14
1811461494 Patrick Gerard Clay Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2019-01-16
1043786478 Crystal Howell Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2018-10-24
1891291480 Maricar Conson Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2018-04-02
1871033837 Thomas William Cawood Student in an Organized Health Care Education/Training Program 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2017-02-24
1437606282 Jose Ortiz Physician Assistant 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2016-09-08
1760843452 Wei Cheng Yuet Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2016-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629683602 Renovo Wound and Hyperbarics Pllc Emergency Medicine 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 2020-09-15
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1093351355 Raymond Iannone Pharmacist 850 Montgomery St, Suite #310, Fort Worth, TX 76107 2019-11-21
1053963744 Cumulus Injury Resolution, Inc. Chiropractor 4936 Byers Avenue, Fort Worth, TX 76107 2019-07-12
1770135576 Shadia Osakwe Physician Assistant 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 2019-07-11
1568945442 Sachin P Patel Physical Therapist 4825 Wellesley St, Fort Worth, TX 76107 2018-09-07
1023594025 Ftw Pharmacy Services Inc Durable Medical Equipment & Medical Supplies 2912 W 6th St Ste 150, Fort Worth, TX 76107 2018-07-13
1669974325 Helen Williamson Elliott Counselor 1751 River Run #217, Fort Worth, TX 76107 2018-03-08
1487156931 Pelvic Neuromonitoring Pllc Electrodiagnostic Medicine 111 Boland St #211, Ft Worth, TX 76107 2018-03-01
Find all providers in zip 76107

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922607373 Benjamin Allen Barrett Student in an Organized Health Care Education/Training Program 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 2020-10-17
1538766597 Billy Derek Huddleston Student in an Organized Health Care Education/Training Program 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 2020-10-02
1942828371 Ellener Harper Student in an Organized Health Care Education/Training Program 9232 Oldwest Trl, Fort Worth, TX 76131-3114 2020-07-13
1396374005 Mikel Robert Bell Student in an Organized Health Care Education/Training Program 855 Montgomery St Ste 257, Fort Worth, TX 76107-2553 2020-04-04
1750919171 William Thomas Cates Student in an Organized Health Care Education/Training Program 3248 W 7th St Apt 308, Fort Worth, TX 76107-2804 2020-03-31
1710514690 Javier Eduardo Ordonez Student in an Organized Health Care Education/Training Program 3512 Princess Victoria Ct, Fort Worth, TX 76137-6074 2020-03-23
1548896749 Eric Bash Student in an Organized Health Care Education/Training Program 6137 Obsidian Creek Dr, Fort Worth, TX 76179-1543 2020-03-19
1700417821 Abigail U Davis Student in an Organized Health Care Education/Training Program 5113 Glen Canyon Rd, Fort Worth, TX 76137-4104 2020-01-28
1699312439 Lacey Jane Arnett Student in an Organized Health Care Education/Training Program 3305 West Cantey St, Fort Worth, TX 76129-0001 2019-11-27
1699322396 Anastasia Davis Student in an Organized Health Care Education/Training Program 3628 Woodmoor Rd, Fort Worth, TX 76133-6336 2019-08-19
Find all providers in FORT WORTH

Competitor

Search similar providers

City FORT WORTH
Zip Code 76107

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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