Individual
DR. ALVIN JACKSON RALSTON III
Active
Individual
DR. ALVIN JACKSON RALSTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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