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Individual

DR. RALPH MICHAEL MANCINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1044 CANDLELIGHT LN, HOUSTON, TX 77018-2004
(713) 984-9595
(713) 984-8576
Mailing address
PO BOX 925510, HOUSTON, TX 77292-5510
(713) 984-9595
(713) 984-8576

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E7178
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117137302
TX
01
89G540
MEDICARE PTAN
TX
Enumeration date
05/17/2006
Last updated
04/17/2013
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