Individual
RALPH FREDRICK BAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6451 BRENTWOOD STAIR ROAD, SUITE 200, FORT WORTH, TX 76112
(817) 496-9700
Mailing address
6451 BRENTWOOD STAIR ROAD, SUITE 200, FORT WORTH, TX 76112
(817) 496-9700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N0621
TX
Other
Enumeration date
07/16/2007
Last updated
07/02/2010
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