Wynn, Ralph T
Wynn, Ralph T is an individual health care provider with primary practice located at 1845 Precinct Line Rd Ste 209 , Hurst TX 76054-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wynn, Ralph T can be contacted via phone (817) 632-5803.Contact Information
Primary practice address
1845 Precinct Line Rd Ste 209
Hurst TX 76054-3109
Phone: (817) 632-5803
Fax: (817) 632-5803
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 234251 | New York |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G3923 | Texas |
Profile Details
NPI number | 1043297195 |
---|---|
LBN Legal business name | Wynn, Ralph T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2005 |
Last updated | Nov 19th, 2020 - about 4 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 | 1043297195 | NPPES |
Texas | Other | G3923 | TEXAS MEDICAL BOARD |
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