Provider Demographics
NPI:1225091481
Name:JOSEPH, RALPH EDWARD (DO)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:EDWARD
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 280
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4236
Mailing Address - Country:US
Mailing Address - Phone:972-867-6400
Mailing Address - Fax:972-519-0391
Practice Address - Street 1:5425 W. SPRING CREEK PKWY
Practice Address - Street 2:SUITE 280
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024
Practice Address - Country:US
Practice Address - Phone:972-867-6400
Practice Address - Fax:972-519-0391
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4452207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0012DROtherBLUE CROSS
TX113478501Medicaid
TX00387JMedicare ID - Type Unspecified
TX113478501Medicaid