Organization
JAMES A RATLIFF MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L GIBSON (CREDENTIALING SPECIALIST)
(210) 494-1100
Entity
Organization
Contact information
Practice address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 379-8009
Mailing address
2935 THOUSAND OAKS DR, STE. 294, SAN ANTONIO, TX 78247-3312
(210) 494-1100
(210) 494-1117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.203514
LA
Other
Enumeration date
12/07/2012
Last updated
12/13/2012
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