Provider Demographics
NPI:1083772354
Name:SWEET, RALPH WILLIAM JR (RN)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:WILLIAM
Last Name:SWEET
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15019 OAK BRIAR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5497
Mailing Address - Country:US
Mailing Address - Phone:630-699-8523
Mailing Address - Fax:
Practice Address - Street 1:15019 OAK BRIAR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-5497
Practice Address - Country:US
Practice Address - Phone:630-699-8523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX581046163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse