Smith, Ralph

Smith, Ralph is an individual health care provider with primary practice located at 1501 E Mockingbird Ln #101, Victoria TX 77904-2155. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Smith, Ralph can be contacted via phone (361) 513-6291.

Contact Information

Primary practice address
1501 E Mockingbird Ln #101 Victoria TX 77904-2155
Phone: (361) 513-6291
Fax: (361) 576-2434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 566277 Texas

Profile Details

NPI number 1265522130
LBN Legal business name Smith, Ralph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Sep 7th, 2016 - 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 1265522130 NPPES
Texas Other 742710179A027 CHAMPUS
Texas Other CR43320 CHAMPUS
Texas MEDICAID 002182601 CHAMPUS
Texas Other 80273H CHAMPUS

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