Fitzgerald, Ralph John
Fitzgerald, Ralph John is an individual health care provider with primary practice located at 2560 Central Park Ave Suite 195, Flower Mound TX 75028-1554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fitzgerald, Ralph John can be contacted via phone (972) 420-1475.Contact Information
Primary practice address
2560 Central Park Ave Suite 195
Flower Mound TX 75028-1554
Phone: (972) 420-1475
Fax: (469) 671-5437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | H0841 | Texas |
Profile Details
| NPI number | 1558362756 |
|---|---|
| LBN Legal business name | Fitzgerald, Ralph John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Feb 4th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558362756 | NPPES |
| Texas | MEDICAID | 039538602 | |
| Texas | Other | 81M644 |
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