Provider Demographics
NPI:1497744783
Name:RATNOFF, WILLIAM D (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:RATNOFF
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 27511
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77227-7511
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:912 DETERING ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-5157
Practice Address - Country:US
Practice Address - Phone:806-787-2982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-26259207RR0500X
UT8490057-1205207RR0500X
ND12169207RR0500X
TXL3086207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122161100Medicaid
TX043734501Medicaid
TX048525201Medicaid
TX122161101OtherFIRSTCARE COMMERCIAL
TX043734504Medicaid
OK100042210AMedicaid
TX80736ZOtherHMO BLUE
TX8B8815OtherBLUE CROSS BLUE SHIELD OF TEXAS
NMB002OtherTRIWEST
NM52501OtherPRESBYTERIAN COMMERCIAL
NMR8725Medicaid
NM52501Medicaid
TX87231GOtherBC/BS
TXE96213Medicare UPIN
TX660002094Medicare ID - Type UnspecifiedRAILROAD
TX122161100Medicaid
OK100042210AMedicaid