Ryan L Ratliff, MD
Family Medicine, Bariatric Medicine in Tyler, TX. Individual provider (NPI-1).
NPI number1164046280
StatusActive
Last updated in NPPESAug 10, 2023
Details
- NPI
- 1164046280
- Entity type
- Individual (NPI-1)
- Name
- Ryan L Ratliff
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2020
- Certification date
- Aug 10, 2023
- Last updated
- Aug 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QB0002X | Family Medicine, Bariatric Medicine | T2906 | TX | Yes |
| 207Q00000X | Family Medicine | T2906 | TX | |
| 2083B0002X | Preventive Medicine, Obesity Medicine | T2906 | TX | |
| 390200000X | Student in an Organized Health Care Education/Training Program | BP10071492 | TX |
Practice location
3593 E Grande BlvdTyler, TX 75707-1400
Phone 903-839-2585
Mailing address
Po Box 846098Dallas, TX 75284-6098
Phone 903-606-6400
Other practice locations
11937 Us Highway 271
Tyler, TX 75708-3154
Tyler, TX 75708-3154
Phone 903-877-7253
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