Provider Demographics
NPI:1104030782
Name:RATINO, THOMAS M (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:RATINO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76101-0747
Mailing Address - Country:US
Mailing Address - Phone:817-332-6092
Mailing Address - Fax:817-402-7731
Practice Address - Street 1:900 JEROME ST STE 400
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3942
Practice Address - Country:US
Practice Address - Phone:817-332-6092
Practice Address - Fax:817-402-7731
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM7558208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00408195OtherRR MEDICARE
TX186710301Medicaid