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Individual

RALPH KELLER DUBOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E6068
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050041741
RAILROAD
TX
05
132087102
TX
05
1975991
LA
01
84Y542
TX-BLUE SHIELD
Enumeration date
01/09/2007
Last updated
02/08/2017
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