Individual
DR. JONATHAN SCOTT RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 237-1818
Mailing address
PO BOX 840294, DALLAS, TX 75284-0294
(888) 344-1160
(972) 331-3148
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
R4130
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
247011
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MMD.33015 TL
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R4130
TX
390200000X
Student in an Organized Health Care Education/Training Program
247011
NY
Other
Enumeration date
07/17/2008
Last updated
10/29/2025
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