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Individual
DR. RALPH J DEBERARDINIS
Active
Individual
DR. RALPH J DEBERARDINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MD419592
PA
207SG0202X
Clinical Biochemical Genetics Physician
MD419592
PA
207SG0205X
Ph.D. Medical Genetics Physician
MD419592
PA
208000000X
Pediatrics Physician
Primary
M9959
TX
208000000X
Pediatrics Physician
MD419592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195046101
—
TX
01
—
DE08K8816
TEXAS MEDICARE
TX
Enumeration date
07/18/2006
Last updated
04/15/2013
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