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
Fax: (817) 632-5803
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043297195 NPPES
Texas Other G3923 TEXAS MEDICAL BOARD

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