Individual
TIM PAUL RATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1307 8TH AVE STE 506, FORT WORTH, TX 76104-4142
(817) 332-6092
(817) 332-6015
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 332-6015
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
P6705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324482401
—
TX
01
—
P01220759
RAILROAD MEDICARE
TX
Enumeration date
10/23/2008
Last updated
01/27/2014
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