Individual
DR. RALPH PURCELL PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
129 VISION PARK BLVD, # 307, SHENANDOAH, TX 77384-3023
(936) 321-5440
(936) 271-3705
Mailing address
129 VISION PARK BLVD, # 307, SHENANDOAH, TX 77384-3023
(936) 321-5440
(936) 271-3705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G4376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00EQ60
BCBS
TX
05
—
098185403
—
TX
01
—
100016534
RAILROAD MEDICARE
TX
Enumeration date
12/08/2005
Last updated
03/30/2017
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