Provider Demographics
NPI:1386670792
Name:POSCH, RALPH JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:JOHN
Last Name:POSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 260727
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:972-964-5559
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:STE 685
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:972-814-7777
Practice Address - Fax:972-964-5559
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1523208800000X
CAG50743208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX36EUOtherBLUE CROSS/BLUE SHIELD ID
TX123366008Medicaid
TX123366009OtherMEDICAID OTHER
TX123366010Medicaid
TX123366009OtherMEDICAID OTHER
TX36EUOtherBLUE CROSS/BLUE SHIELD ID