Individual
RALPH CLAIBORNE WALSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2235
(817) 735-2480
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2235
(817) 735-2480
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
34-00-5836-W
OH
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
J9427
TX
207Q00000X
Family Medicine Physician
J9427
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029633702
—
TX
05
—
051669
—
OH
01
—
8CS803
BCBS
TX
01
—
P01005491
RAILROAD MEDICARE
TX
Enumeration date
01/03/2007
Last updated
03/27/2012
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