Individual
RYAN L RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3593 E GRANDE BLVD, TYLER, TX 75707-1400
(903) 839-2585
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-6400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
T2906
TX
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
T2906
TX
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
T2906
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10071492
TX
Other
Enumeration date
06/04/2020
Last updated
08/10/2023
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