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Individual

DR. DERRICK WAYNE RATCLIFF JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14405 WALTERS RD, HOUSTON, TX 77014-1337
(346) 360-6478
Mailing address
3724 FM 1960 RD W, HOUSTON, TX 77068-3528
(346) 360-6478

Taxonomy

Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
AA8776
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9489
TX
05
AA8776
TX
Enumeration date
06/17/2020
Last updated
06/17/2020
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