Provider Demographics
NPI:1164481495
Name:ADSIT, RALPH DWIGHT JR (LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:DWIGHT
Last Name:ADSIT
Suffix:JR
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4010 DONALBAIN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7441
Mailing Address - Country:US
Mailing Address - Phone:281-288-8867
Mailing Address - Fax:281-351-8244
Practice Address - Street 1:28120 STATE HIGHWAY 249
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6420
Practice Address - Country:US
Practice Address - Phone:281-351-6300
Practice Address - Fax:281-351-8244
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT9192255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer