Ralston, Samuel Warren

Ralston, Samuel Warren is an individual health care provider with primary practice located at 6101 Woodway Dr Suite 200, Waco TX 76712-6111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ralston, Samuel Warren can be contacted via phone (254) 537-6300.

Contact Information

Primary practice address
6101 Woodway Dr Suite 200 Waco TX 76712-6111
Phone: (254) 537-6300
Fax: (254) 537-6301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F9987 Texas

Profile Details

NPI number 1891767539
LBN Legal business name Ralston, Samuel Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jan 24th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891767539 NPPES
Texas MEDICAID 116984902
Texas MEDICAID 084249401
Texas MEDICAID 116984904
Texas Other 80Y494
Texas Other 00N59X

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