Individual
DR. RALPH GEORGE MENARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 W WINDCREST ST STE 350, FREDERICKSBURG, TX 78624-4478
(830) 990-1404
Mailing address
205 W WINDCREST ST, SUITE 130, FREDERICKSBURG, TX 78624-4479
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
H5592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J04K
BLUE CROSS BLUE SHIELD
TX
01
—
050012360
MEDICARE RAILROAD BEFORE 5/27/08
—
05
—
130355404
—
TX
01
—
H5592
STATE LICENSE NUMBER
TX
01
—
P00473907
MEDICARE RAILROAD AFTER 5/27/08
—
Enumeration date
07/20/2006
Last updated
06/28/2017
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