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Individual

DR. ALVIN JACKSON RALSTON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J3193
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050041701
RAILROAD - MEDICARE
TX
05
117506904
TX
05
117506905
TX
01
1589462
LA - MEDICAID
LA
01
84Y574
TX-BLUE SHIELD
01
8AV563
BLUE CROSS BLUE SHIELD ID
TX
01
8BM990
BLUE CROSS BLUE SHIELD ID
TX
Enumeration date
01/16/2007
Last updated
04/30/2020
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