Provider Demographics
NPI:1225471311
Name:RATCHFORD, SORINA
Entity Type:Individual
Prefix:DR
First Name:SORINA
Middle Name:
Last Name:RATCHFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 S 13TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7117
Mailing Address - Country:US
Mailing Address - Phone:931-802-4894
Mailing Address - Fax:
Practice Address - Street 1:321 S 13TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7117
Practice Address - Country:US
Practice Address - Phone:931-802-4894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA613531223G0001X
TX291581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice